Nemluvio (nemolizumab-ilto) — Medica
Prurigo nodularis
Initial criteria
- age ≥ 18 years
 - ≥ 20 identifiable nodular lesions in total on both arms, and/or both legs, and/or trunk
 - pruritus for ≥ 6 weeks
 - the prurigo nodularis is NOT medication-induced or secondary to a non-dermatologic condition such as neuropathy or psychiatric disease OR if secondary cause is identified it has been adequately managed according to the prescriber
 - patient has tried at least one high- or super-high-potency prescription topical corticosteroid applied daily for at least 14 consecutive days with inadequate efficacy according to the prescriber
 - prescribed by or in consultation with an allergist, immunologist, or dermatologist
 
Reauthorization criteria
- patient has already received at least 4 months of therapy with Nemluvio
 - patient has experienced a beneficial clinical response defined by reduced nodular lesion count OR decreased pruritus OR reduced nodular lesion size
 
Approval duration
initial 4 months; reauthorization 1 year