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Epidiolex (cannabidiol)CareFirst (Caremark)

Seizures associated with Dravet syndrome (DS)

Initial criteria

  • Member has a diagnosis of Lennox-Gastaut syndrome, Dravet syndrome, or tuberous sclerosis complex
  • Member age ≥ 1 year

Reauthorization criteria

  • Member is 1 year of age or older
  • Member has achieved or maintained a positive clinical response (e.g., decrease in seizure frequency)

Approval duration

12 months