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Vyndaqel (tafamidis meglumine capsules – Pfizer)Cigna

Cardiomyopathy of wild-type or hereditary transthyretin-mediated amyloidosis (ATTR-CM)

Initial criteria

  • Patient age ≥ 18 years; AND
  • Diagnosis confirmed by ONE of the following (i, ii, or iii): i) A technetium pyrophosphate scan (nuclear scintigraphy); OR ii) A tissue biopsy with confirmatory transthyretin (TTR) amyloid typing by mass spectrometry, immunoelectron microscopy, or immunohistochemistry; OR iii) Patient had genetic testing which, according to the prescriber, identified a transthyretin (TTR) pathogenic variant (e.g., Val122Ile variant, Thr60Ala variant); AND
  • Diagnostic cardiac imaging has demonstrated cardiac involvement (e.g., echocardiogram or cardiac magnetic imaging showing increased thickness of the ventricular wall or interventricular septum); AND
  • Patient has heart failure, but does not have New York Heart Association class IV disease; AND
  • Medication is prescribed by or in consultation with a cardiologist or a physician who specializes in the treatment of amyloidosis

Approval duration

1 year