Harvoni (brand only) — Cigna
Chronic Hepatitis C Virus infection per standard Hepatitis C – Harvoni PA Policy
Preferred products
- Epclusa (brand)
- Harvoni (brand)
- Vosevi (brand)
- Zepatier
Initial criteria
- Patient has met the standard Hepatitis C – Harvoni PA Policy criteria
Approval duration
per standard Hepatitis C – Harvoni PA Policy