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Adempas (riociguat)Highmark

WHO Group 1 pulmonary arterial hypertension (PAH)

Initial criteria

  • Prescribed by or in consultation with a cardiovascular or pulmonary specialist
  • Diagnosis of WHO Group 1 PAH (ICD-10: I27.0, I27.21)
  • Documented NYHA or WHO Functional Class II or III symptoms from baseline
  • Results of right heart catheterization showing ALL of the following: mean pulmonary arterial pressure (mPAP) > 20 mmHg at rest AND pulmonary wedge pressure (PWP) ≤ 15 mmHg AND pulmonary vascular resistance (PVR) ≥ 3 Wood units