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Oxervate (cenegermin-bkbj)Blue Cross Blue Shield of Texas

other approved/off-label uses per Ohio plan criteria

Initial criteria

  • Member resides in Ohio
  • Plan is Fully Insured or HIM Shop (SG)
  • No FDA labeled contraindications
  • ONE of the following:
  • A. Patient has another FDA labeled indication for requested agent and route OR
  • B. Patient has another indication supported in recognized compendia (DrugDex level 1/2A/2B, AHFS-DI supportive narrative, or NCCN 1/2A, Clinical Pharmacology, LexiDrugs level A) OR
  • C. Prescriber has submitted ≥ 2 peer-reviewed journal articles supporting proposed use as generally safe and effective (randomized, double blind, placebo controlled acceptable)

Approval duration

12 months