Skip to content
The Policy VaultThe Policy Vault

HarvoniMedical Mutual

Recurrent Hepatitis C Virus (HCV) Post-Liver Transplantation, Genotypes 5 OR 6

Initial criteria

  • Patient age ≥ 18 years
  • Recurrent HCV after liver transplantation
  • Medication will be prescribed in combination with ribavirin
  • Prescribed by or in consultation with gastroenterologist, hepatologist, infectious diseases physician, or liver transplant physician affiliated with a transplant center

Approval duration

12 weeks