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ArikayceMedical Mutual

Cystic Fibrosis

Initial criteria

  • Patient has Pseudomonas aeruginosa in culture of the airway (sputum culture, oropharyngeal culture, or bronchoalveolar lavage culture)
  • Medication is prescribed by or in consultation with a pulmonologist or a physician who specializes in the treatment of cystic fibrosis

Approval duration

1 year