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Kesimpta (ofatumumab)Highmark

Relapsing forms of multiple sclerosis (MS): clinically isolated syndrome, relapsing-remitting disease, active secondary progressive disease

Initial criteria

  • age ≥ 18 years
  • Diagnosis of multiple sclerosis (ICD-10: G35) classified as one of the following relapsing forms: clinically isolated syndrome OR relapsing-remitting disease OR active secondary progressive disease

Reauthorization criteria

  • Prescriber attests that the member has experienced a therapeutic response defined as one of the following: disease stability OR disease improvement OR delayed disease progression

Approval duration

24 months