Korlym — Blue Cross Blue Shield of Oklahoma

Cushing’s syndrome or other rare diseases as specified for NM or OH fully insured or HIM members

Initial criteria

For BCBS NM Fully Insured or NM HIM member: (a) no FDA labeled contraindications AND (b) requested indication is a rare disease AND (c) ONE of: (1) another FDA labeled indication for route of administration OR (2) compendia-supported use for route
For residents of Ohio with Fully Insured or HIM Shop plan: (a) no FDA labeled contraindications AND ONE of: (1) another FDA labeled indication for route OR (2) compendia-supported indication OR (3) submission of TWO peer-reviewed articles supporting safe and effective use

12 months