Adempas — Medical Mutual
Pulmonary Arterial Hypertension (PAH) [WHO Group 1]
Initial criteria
- Patient has a diagnosis of WHO Group 1 pulmonary arterial hypertension (PAH); AND
- Patient has had a right heart catheterization; AND
- Results of the right heart catheterization confirm the diagnosis of WHO Group 1 PAH; AND
- Medication is prescribed by or in consultation with a cardiologist or a pulmonologist
Reauthorization criteria
- Patient has a diagnosis of WHO Group 1 PAH; AND
- Patient has had a right heart catheterization; AND
- Results of the right heart catheterization confirm the diagnosis of WHO Group 1 PAH; AND
- Medication is prescribed by or in consultation with a cardiologist or a pulmonologist
Approval duration
1 year