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NexlizetCigna

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