Harvoni — Medical Mutual
Hepatitis C Virus (HCV) Kidney Transplant Recipients, Genotype 1 or 4
Initial criteria
- Patient age ≥ 18 years
- Kidney transplant recipient with HCV
- Prescribed by or in consultation with gastroenterologist, hepatologist, infectious diseases physician, nephrologist, liver transplant physician, or renal transplant physician affiliated with a transplant center
Approval duration
12 weeks