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VanrafiaBlue Cross Blue Shield of Oklahoma

other FDA labeled indications or compendia-supported uses (Ohio members)

Initial criteria

  • Member resides in Ohio AND
  • Plan is Fully Insured or HIM Shop (SG) AND
  • Patient does NOT have any FDA labeled contraindications to the requested agent AND
  • ONE of the following: (1) patient has another FDA labeled indication for the requested agent and route OR (2) patient has another indication supported in compendia OR (3) prescriber submitted two peer-reviewed journal articles supporting proposed use as generally safe and effective

Approval duration

12 months