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resmetiromBlue Cross Blue Shield of Texas

other FDA labeled indication or compendia-supported use

Initial criteria

  • Member resides in Ohio AND plan is Fully Insured or HIM Shop (SG)
  • No FDA labeled contraindications to requested agent
  • ONE of: (A) Patient has another FDA labeled indication for requested agent and route of administration OR (B) Patient has another indication supported in compendia for requested agent and route of administration OR (C) Prescriber submitted TWO articles from major peer-reviewed medical journals supporting proposed use as generally safe and effective

Approval duration

12 months