Cialis (tadalafil tablets − Eli Lilly, generic) — Cigna
High-Altitude Pulmonary Edema (HAPE), Treatment or Prevention
Initial criteria
- Approve for 1 year in patients who meet BOTH of the following (A and B):
- A) Patient has HAPE or a history of HAPE; AND
- B) Patient has tried one other pharmacologic therapy for treatment or prevention of HAPE.
Approval duration
1 year