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OfevMedica

Interstitial Lung Disease Associated with Systemic Sclerosis

Initial criteria

  • Patient is ≥ 18 years of age
  • Forced vital capacity is ≥ 40% of the predicted value
  • Diagnosis is confirmed by high-resolution computed tomography
  • Medication is prescribed by or in consultation with a pulmonologist or a rheumatologist

Reauthorization criteria

  • Patient is ≥ 18 years of age
  • Patient has experienced a beneficial response to therapy over the last year while receiving Ofev (examples include a reduction in the anticipated decline in forced vital capacity, six-minute walk distance, and/or in the number or severity of disease-related exacerbations)
  • Medication is prescribed by or in consultation with a pulmonologist or a rheumatologist

Approval duration

1 year