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Oxbryta (voxelotor) tablets for oral suspensionHighmark

sickle cell disease (SCD)

Preferred products

  • generic hydroxyurea

Initial criteria

  • age ≥ 4 years
  • diagnosis of SCD (ICD-10: D57)
  • hemoglobin level ≤ 10.5 g/dL
  • therapeutic failure, contraindication, or intolerance to plan-preferred, generic hydroxyurea
  • if requesting Oxbryta tablets for oral suspension, member is ≤ 11 years of age
  • Oxbryta will not be used in combination with Adakveo (crizanlizumab-tmca)

Reauthorization criteria

  • prescriber attests to therapeutic response defined as one of the following:
  • improvement in SCD signs, symptoms, or complications
  • hemoglobin increase of > 1 g/dL from baseline without concurrent transfusions
  • decreased number of transfusions from baseline

Approval duration

12 months