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Isturisa (osilodrostat)Highmark

Cushing’s syndrome

Initial criteria

  • age ≥ 18 years
  • diagnosis of Cushing’s syndrome (ICD-10: E24)
  • member is not a candidate for pituitary surgery OR pituitary surgery has not been curative

Reauthorization criteria

  • member has experienced a reduction in the 24-hour mean urinary free cortisol (mUFC) levels from baseline
  • prescriber attests that the member has experienced an improvement in signs and symptoms of Cushing’s syndrome from baseline

Approval duration

12 months