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Emgality (galcanezumab-gnlm)Highmark

episodic cluster headache

Initial criteria

  • age ≥ 18 years
  • diagnosis of episodic cluster headache (ICD-10: G44.01) with severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15–180 minutes when untreated
  • attack frequency of at least one attack every other day during a cluster period

Reauthorization criteria

  • reduction in mean weekly cluster headaches from baseline
  • subsequent reauthorizations require sustained improvement