Zorbtive — Highmark
Short Bowel Syndrome (SBS)
Initial criteria
- Diagnosis of SBS
- Receiving optimal management for short bowel syndrome, including specialized nutritional support
Reauthorization criteria
- Experienced an increase in weight from baseline OR a decrease in parenteral/intravenous nutrition requirement from baseline
- Continues to be dependent on parenteral/intravenous nutrition support
Approval duration
initial 4 weeks; reauthorization 3 months