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MavyretBlue Cross Blue Shield of New Mexico

Hepatitis C virus infection (various genotypes per FDA labeling)

Initial criteria

  • Requested length of therapy does NOT exceed the length of therapy noted in Table 5 (FDA labeling) for the patient's treatment regimen
  • ONE of the following:
  • A. The requested quantity (dose) does NOT exceed the program quantity limit OR
  • B. The requested quantity (dose) exceeds the program quantity limit AND ALL of the following:
  • 1. The requested agent is Mavyret 50 mg/20 mg packets AND
  • 2. The requested quantity (dose) does NOT exceed 6 packets per day AND
  • 3. There is support for why the patient cannot take 3 tablets of the 100 mg/40 mg tablet

Approval duration

BCBSIL: 12 months; Others: up to duration per Table 5 (8–16 weeks per FDA labeling)