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tasimelteon capsulesMedica

Non-24-Hour Sleep-Wake Disorder (Non-24) in adults who are totally blind with no perception of light

Initial criteria

  • age ≥ 18 years
  • patient is totally blind with no perception of light
  • diagnosis of Non-24 confirmed by at least one physiologic circadian phase marker OR if not feasible, by actigraphy performed ≥ 1 week plus evaluation of sleep logs recorded ≥ 1 month
  • patient has received ≥ 6 months of continuous melatonin therapy under the guidance of a physician who specializes in sleep disorders
  • inadequate efficacy with melatonin therapy according to prescriber (e.g., lack of entrainment or meaningful improvement in sleep parameters)
  • medication prescribed by or in consultation with a physician who specializes in treatment of sleep disorders

Reauthorization criteria

  • age ≥ 18 years
  • patient is totally blind with no perception of light
  • patient has received ≥ 6 months of continuous melatonin therapy under the guidance of a physician who specializes in sleep disorders with inadequate efficacy
  • patient has received ≥ 6 months of continuous tasimelteon capsule therapy under the guidance of a physician who specializes in sleep disorders
  • patient has achieved adequate results with tasimelteon capsule therapy per prescriber (e.g., entrainment or meaningful improvements in sleep parameters)
  • medication prescribed by or in consultation with a physician who specializes in treatment of sleep disorders

Approval duration

initial: 6 months; continuation: 1 year