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The Policy VaultThe Policy Vault

VoqueznaCareFirst (Caremark)

healing of all grades of erosive esophagitis and relief of heartburn associated with erosive esophagitis in adults

Preferred products

  • proton pump inhibitor (PPI)

Initial criteria

  • Patient age ≥ 18 years
  • Patient meets ONE of the following: inadequate treatment response to a one-month trial of a proton pump inhibitor (PPI); intolerance to a PPI; contraindication that would prohibit a trial of a PPI

Approval duration

8 weeks