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Recorlev (levoketoconazole tablets - Xeris)Cigna

Endogenous Cushing’s Syndrome

Initial criteria

  • Patient age ≥ 18 years; AND
  • Patient has hypercortisolemia; AND
  • Patient meets ONE of the following (i, ii, OR iii): (i) According to the prescriber, the patient is not a candidate for surgery or surgery has not been curative; OR (ii) Patient is awaiting surgery for endogenous Cushing’s syndrome; OR (iii) Patient is awaiting therapeutic response after radiotherapy for endogenous Cushing’s syndrome; AND
  • Patient has tried ketoconazole tablets; AND
  • Medication is prescribed by or in consultation with an endocrinologist or a physician who specializes in the treatment of endogenous Cushing’s syndrome.

Approval duration

1 year