Ermeza solution — Medica
pituitary thyrotropin (thyroid-stimulating hormone, TSH) suppression in the management of thyrotropin-dependent well-differentiated thyroid cancer
Preferred products
- generic levothyroxine tablets
Initial criteria
- Patient has tried one Step 1 Product (generic levothyroxine tablets or brands such as Synthroid or Levoxyl)
- OR patient is unable to swallow or has difficulty swallowing tablets
Approval duration
1 year