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Alhemo (concizumab-mtci)Medica

Hemophilia A with Factor VIII inhibitors

Initial criteria

  • age ≥ 12 years
  • using Alhemo for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
  • Factor VIII inhibitor titer testing performed within the past 30 days AND has a positive test ≥ 0.6 Bethesda units/mL
  • prophylactic use of bypassing agents will be discontinued (use for breakthrough bleeding permitted)
  • not undergoing immune tolerance induction therapy
  • prescribed by or in consultation with a hemophilia specialist

Reauthorization criteria

  • using Alhemo for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
  • prophylactic use of bypassing agents will not occur while receiving Alhemo (use for breakthrough bleeding permitted)
  • not undergoing immune tolerance induction therapy
  • experienced a beneficial response to therapy (e.g., reduction in bleeding events, severity, or spontaneous bleeds)
  • prescribed by or in consultation with a hemophilia specialist

Approval duration

1 year