Ferriprox (deferiprone) — Blue Cross Blue Shield of Oklahoma
Members residing in Ohio with Fully Insured or HIM Shop (SG) plan
Initial criteria
- The patient does NOT have any FDA labeled contraindications to the requested agent AND ONE of the following: The patient has another FDA labeled indication for the requested agent and route of administration OR the patient has another indication that is supported in compendia OR the prescriber has submitted two articles from major peer-reviewed professional medical journals supporting the proposed use(s) as generally safe and effective.
Approval duration
12 months