Skip to content
The Policy VaultThe Policy Vault

Signifor (pasireotide subcutaneous injection)Medica

Cushing’s disease

Initial criteria

  • age ≥ 18 years
  • According to the prescriber, the patient is not a candidate for surgery or surgery has not been curative
  • The medication is prescribed by or in consultation with an endocrinologist or a physician who specializes in the treatment of Cushing’s syndrome

Reauthorization criteria

  • Patient has had a response, as determined by the prescriber
  • Patient is continuing therapy to maintain response

Approval duration

initial 4 months; reauthorization 1 year