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Corlanor — CareFirst (Caremark)

Heart failure due to dilated cardiomyopathy (pediatric)

Initial criteria

  • The requested drug is being prescribed for a pediatric patient age ≥ 6 months
  • The patient is in sinus rhythm
  • The patient has an elevated heart rate

Reauthorization criteria

  • The requested drug is being prescribed for a pediatric patient age ≥ 6 months
  • The patient is in sinus rhythm

Approval duration

12 months