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The Policy VaultThe Policy Vault

Alyftrek (vanzacaftor/tezacaftor/deutivacaftor)CareFirst (Caremark)

Cystic fibrosis (CF) in patients with at least one F508del mutation or another responsive CFTR gene mutation

Initial criteria

  • Prescribed by or in consultation with a pulmonologist
  • Genetic testing was conducted to detect a mutation in the CFTR gene
  • Member has one of the listed CFTR gene mutations from the policy
  • Member age ≥ 6 years
  • Alyftrek will not be used in combination with another CFTR modulator (e.g., Kalydeco, Trikafta)

Reauthorization criteria

  • Member is experiencing benefit from therapy as evidenced by disease stability or disease improvement (e.g., improvement in FEV1 from baseline)

Approval duration

12 months