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AdempasMedical Mutual

Chronic Thromboembolic Pulmonary Hypertension (CTEPH) [WHO Group 4]

Initial criteria

  • Persistent/recurrent CTEPH (WHO Group 4); AND
  • The patient has been treated surgically, or CTEPH is inoperable; AND
  • Adempas is prescribed by or in consultation with a cardiologist or pulmonologist

Reauthorization criteria

  • Persistent/recurrent CTEPH (WHO Group 4); AND
  • The patient has been treated surgically, or CTEPH is inoperable; AND
  • Adempas is prescribed by or in consultation with a cardiologist or pulmonologist

Approval duration

1 year