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Korlym (mifepristone)Highmark

Endogenous Cushing’s syndrome with type 2 diabetes mellitus or glucose intolerance in adults who have failed surgery or are not candidates for surgery

Initial criteria

  • age ≥ 18 years
  • Diagnosis of endogenous Cushing’s syndrome (ICD-10: E24)
  • Member is not a candidate for surgery OR has experienced therapeutic failure to surgery
  • Member has type 2 diabetes mellitus (ICD-10: E11) AND has experienced therapeutic failure to one previous pharmacologic therapy for type 2 diabetes OR is taking Korlym in addition to pharmacologic therapy for type 2 diabetes OR member has glucose intolerance

Reauthorization criteria

  • Prescriber provides documentation that the member has experienced improvement in hyperglycemia following Korlym administration

Approval duration

12 months