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Cerdelga (eliglustat)Highmark

Gaucher disease type 1

Reauthorization criteria

  • Member has experienced positive clinical response to therapy demonstrated by one or more of the following: reduction in liver volume, reduction in spleen volume, increase in hemoglobin levels, or increase in platelet counts
  • An appropriate quantity is being utilized based on CYP2D6 metabolizer status (extensive metabolizer or intermediate metabolizer; not a CYP2D6 ultra-rapid metabolizer)

Approval duration

12 months