Sovaldi (sofosbuvir tablets and oral pellets − Gilead, generic for tablets only) — Cigna
Patient has been started on Sovaldi (to complete a course of therapy)
Initial criteria
- Indication or condition addressed as an approval in the Recommended Authorization Criteria section (FDA-Approved Indications or Other Uses with Supportive Evidence)
- Approve the duration described above to complete a course of therapy
Approval duration
Remainder of therapy course