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Vosevi — Medica

Genotype 1, 2, 3, 4, 5, or 6 chronic Hepatitis C Virus

Initial criteria

  • Patient has met the standard Hepatitis C – Vosevi PA Policy criteria

Reauthorization criteria

  • Refer to the standard Hepatitis C – Vosevi PA Policy criteria

Approval duration

duration specified in the standard Hepatitis C – Vosevi PA Policy criteria