Pegasys — Highmark

Initial criteria

• Option 1: Age ≥ 3 years AND diagnosis of chronic hepatitis B AND HBeAg-positive AND no cirrhosis AND evidence of viral replication AND elevations in serum ALT
• OR Option 2: Age ≥ 18 years AND diagnosis of chronic hepatitis B with compensated liver disease AND evidence of viral replication AND evidence of liver inflammation

Approval duration

12 months