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The Policy VaultThe Policy Vault

Epclusa (sofosbuvir/velpatasvir tablets and oral pellets – Gilead)Cigna

Chronic Hepatitis C Virus (HCV) Genotype 1, 2, 3, 4, 5, or 6, No Cirrhosis or Compensated Cirrhosis (Child-Pugh A)

Initial criteria

  • Patient is age ≥ 3 years; AND
  • Patient meets ONE of the following (i or ii): i. Patient does not have cirrhosis; OR ii. Patient has compensated cirrhosis (Child-Pugh A); AND
  • Patient has not been previously treated with sofosbuvir/velpatasvir; AND
  • Medication is prescribed by or in consultation with a gastroenterologist, hepatologist, infectious diseases physician, or a liver transplant physician

Approval duration

12 weeks