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The Policy VaultThe Policy Vault

Xofluza (baloxavir marboxil)CareFirst (Caremark)

Post-exposure prophylaxis of influenza in persons age ≥ 5 years following contact with an individual who has influenza

Preferred products

  • Relenza (zanamivir)
  • Tamiflu (oseltamivir)

Initial criteria

  • Authorization may be granted when the requested drug is being prescribed for treatment of acute uncomplicated influenza in a patient age ≥ 5 years who is otherwise healthy or at high risk for influenza-related complications and symptomatic ≤ 48 hours OR for post-exposure prophylaxis of influenza in a patient age ≥ 5 years after contact with an infected individual

Approval duration

3 months