Praluent — Cigna

Primary Hyperlipidemia

Initial criteria

Patient age ≥ 18 years; AND
Patient meets ONE of the following (a or b): a) coronary artery calcium or calcification score ≥ 300 Agatston units; OR b) has diabetes; AND
Patient meets ONE of the following (a or b): a) ALL of the following [(1),(2),(3)]: (1) tried one high-intensity statin therapy (atorvastatin ≥ 40 mg daily or rosuvastatin ≥ 20 mg daily); AND (2) tried the high-intensity statin above along with ezetimibe (as single-entity or combination) for ≥ 8 continuous weeks; AND (3) LDL-C level after this regimen remains ≥ 70 mg/dL.

1 year