Nexlizet — Cigna
Established Cardiovascular Disease
Initial criteria
- Patient age ≥ 18 years
 - Patient has had ONE of the following conditions or diagnoses (a, b, c, d, e, or f): a) A previous myocardial infarction or a history of an acute coronary syndrome
 
Reauthorization criteria
- Patient is currently receiving Nexlizet
 
Approval duration
1 year