Skip to content
The Policy VaultThe Policy Vault

AlvaizHighmark

Severe aplastic anemia with insufficient response to immunosuppressive therapy

Preferred products

  • generic eltrombopag olamine

Initial criteria

  • diagnosis of severe aplastic anemia (ICD-10: D61.9)
  • insufficient response to ONE immunosuppressive therapy (e.g., antithymocyte globulin, cyclosporine, corticosteroids, cyclophosphamide)
  • platelet count < 30 x 10^9/L
  • therapeutic failure, contraindication, or intolerance to plan-preferred generic eltrombopag olamine

Reauthorization criteria

  • prescriber attests that the member has experienced positive clinical response to therapy

Approval duration

12 months