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Tarpeyo (budesonide) delayed-release capsulesHighmark

primary immunoglobulin A nephropathy (IgAN) confirmed by biopsy

Preferred products

  • methylprednisolone
  • prednisone

Initial criteria

  • age ≥ 18 years
  • diagnosis of primary immunoglobulin A nephropathy (IgAN) confirmed by biopsy
  • at risk for disease progression as evidenced by proteinuria ≥ 0.5 g/day
  • EITHER concurrently taking one of the following: ACE inhibitor OR ARB OR Filspari OR has experienced contraindication or intolerance to all of the following: at least one ACE inhibitor AND at least one ARB AND Filspari
  • has experienced therapeutic failure, contraindication, or intolerance to one plan-preferred systemic corticosteroid (e.g., methylprednisolone, prednisone)

Reauthorization criteria

  • diagnosis of primary immunoglobulin A nephropathy (IgAN)
  • EITHER concurrently taking one of the following: ACE inhibitor OR ARB OR Filspari OR has experienced contraindication or intolerance to all of the following: at least one ACE inhibitor AND at least one ARB AND Filspari
  • has experienced therapeutic failure, contraindication, or intolerance to one plan-preferred systemic corticosteroid (e.g., methylprednisolone, prednisone)
  • prescriber attests the member requires retreatment with Tarpeyo

Approval duration

10 months