Skip to content
The Policy VaultThe Policy Vault

Oxervate (cenegermin-bkbj ophthalmic solution)Medica

Neurotrophic keratitis

Initial criteria

  • Patient has received < 8 weeks of treatment in the affected eye(s); AND
  • Medication is prescribed by an ophthalmologist or optometrist

Reauthorization criteria

  • Patient has received < 16 weeks (total) of treatment in the affected eye(s) per lifetime; AND
  • Patient has a recurrence of neurotrophic keratitis; AND
  • Medication is prescribed by an ophthalmologist or optometrist

Approval duration

8 weeks per affected eye(s)