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SaxendaBlue Cross Blue Shield of Oklahoma

other labeled or compendia-supported or rare disease indications (BCBS NM Fully Insured or NM HIM members; Ohio Fully Insured/HIM Shop members)

Initial criteria

  • Patient does NOT have FDA‑labeled contraindications to the requested agent
  • Requested indication is a rare disease OR another FDA‑labeled indication OR compendia‑supported indication
  • For Ohio Fully Insured/HIM Shop members: alternatively, prescriber submitted two peer‑reviewed journal articles supporting proposed use as safe and effective
  • Acceptable compendia: DrugDex level 1, 2A, 2B; AHFS‑DI narrative supportive; NCCN 1, 2A for oncology as noted

Approval duration

12 months