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EntrestoMedical Mutual

Heart Failure (HF), Pediatric Patients – initial therapy

Initial criteria

  • The patient is ≥ 1 year of age; AND
  • Entresto is being used for the treatment of symptomatic heart failure with systemic left ventricular systolic dysfunction; AND
  • Prescribed by or in consultation with a cardiologist; AND
  • Entresto will not be used concomitantly with ACE inhibitors, ARBs, or with aliskiren (Tekturna) in patients with diabetes; AND
  • The dose of Entresto will not exceed 97/103 mg twice daily

Approval duration

1 year