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The Policy VaultThe Policy Vault

sofosbuvir/velpatasvir (generic) — Medica

chronic hepatitis C virus (HCV) infection

Preferred products

  • Epclusa (brand)

Initial criteria

  • Sofosbuvir/velpatasvir (generic only) is not approved. Offer to review for Epclusa (brand only) using the standard Hepatitis C – Epclusa PA Policy criteria.