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The Policy VaultThe Policy Vault

XenazineCigna

chorea associated with Huntington’s disease

Preferred products

  • generic tetrabenazine tablets

Initial criteria

  • Patient meets BOTH of the following (A and B):
  • A) Patient meets the standard Vesicular Monoamine Transporter Type 2 Inhibitor – Tetrabenazine Prior Authorization Policy criteria; AND
  • B) Patient meets BOTH of the following (i and ii):
  • i. Patient tried generic tetrabenazine tablets; AND
  • ii. Patient cannot continue to use the Preferred medication due to a formulation difference in the inactive ingredient(s) [e.g., difference in dyes, fillers, preservatives] between the Brand and the generic product which, per the prescribing physician, would result in a significant allergy or serious adverse reaction. [documentation required]

Approval duration

1 year