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Fintepla (fenfluramine)Highmark

Dravet syndrome

Initial criteria

  • age ≥ 2 years
  • diagnosis of Dravet syndrome
  • therapeutic failure, contraindication, or intolerance to two of the following: clobazam, topiramate, valproic acid or divalproex sodium

Reauthorization criteria

  • prescriber attests that the member has experienced a reduction in seizure frequency from baseline

Approval duration

12 months