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ZomactonCareFirst (Caremark)

Cerebral palsy

Initial criteria

  • Authorization of 12 months when ALL:
  • For members <2.5 years: pretreatment height >2 SD below mean and slow growth velocity
  • For members ≥2.5 years: pretreatment height >2 SD below mean and 1-year height velocity >1 SD below mean OR 1-year velocity >2 SD below mean
  • Epiphyses open

Reauthorization criteria

  • Continuation authorization for 12 months if currently receiving GH therapy, epiphyses open, growth rate >2 cm/year unless clinically justified

Approval duration

12 months