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SaizenCareFirst (Caremark)

Short stature homeobox-containing gene (SHOX) deficiency

Initial criteria

  • Diagnosis confirmed by molecular or genetic analyses; Member has either pretreatment height > 2 SD below mean and 1-year height velocity > 1 SD below mean OR pretreatment 1-year height velocity > 2 SD below mean; Epiphyses open

Reauthorization criteria

  • Member currently receiving growth hormone product indicated for SHOX deficiency; Epiphyses open; Growth rate > 2 cm/year unless clinical reason for lack of efficacy

Approval duration

12 months