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Addyi (flibanserin)Highmark

acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women

Initial criteria

  • age ≥ 18 years
  • member is a premenopausal female
  • diagnosis of HSDD (ICD-10: F52.0)
  • provider has confirmed that HSDD is unrelated to a co-existing medical or psychiatric condition, substance abuse, or relationship issue
  • member meets one of the following: currently enrolled in behavioral therapy for HSDD OR has experienced therapeutic failure of behavioral therapy for HSDD OR is not a candidate for behavioral therapy for HSDD
  • prescriber attests that the member does not have a current issue with alcohol or substance abuse
  • prescriber attests that the member has been educated on Addyi administration including the potential adverse effects of alcohol consumption with Addyi

Reauthorization criteria

  • prescriber attests that the member is tolerating therapy
  • prescriber attests that the member is experiencing improved sexual desire from baseline

Approval duration

initial: up to 2 months; reauthorization: up to 12 months