Skip to content
The Policy VaultThe Policy Vault

ledipasvir/sofosbuvir (authorized generic)Medica

Recurrent Hepatitis C Virus (HCV) Post-Liver Transplantation, Genotypes 5 or 6

Initial criteria

  • age ≥ 18 years
  • recurrent HCV after liver transplantation
  • prescribed in combination with ribavirin
  • prescribed by or in consultation with a gastroenterologist, hepatologist, infectious diseases physician, or liver transplant physician affiliated with a transplant center

Approval duration

12 weeks