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OngentysMedical Mutual

Parkinson’s disease with hypomobility or 'off' episodes

Initial criteria

  • Patient experiences hypomobility or 'off' episodes; AND
  • Patient is receiving Ongentys in combination with levodopa/carbidopa; AND
  • Patient age ≥ 18 years; AND
  • Patient is not concurrently taking a non-selective monoamine oxidase inhibitor (MAOI) (such as: phenelzine, isocarboxazid, etc.); AND
  • Patient does not have pheochromocytoma, paraganglioma, or catecholamine secreting neoplasms; AND
  • Patient meets ONE of the following criteria (a or b): a) Patient has tried an entacapone product and had significant intolerance OR inadequate efficacy according to the prescriber; OR b) Patient is currently receiving Ongentys; AND
  • Ongentys is prescribed by, or in consultation with, a neurologist or prescriber specializing in the treatment of Parkinson’s disease

Reauthorization criteria

  • Patient age ≥ 18 years; AND
  • Patient is diagnosed with episodes of hypomobility ('off' episodes) associated with Parkinson’s disease; AND
  • Patient has experienced a positive clinical response to therapy; AND
  • Ongentys is prescribed by, or in consultation with, a neurologist or prescriber specializing in the treatment of Parkinson’s disease

Approval duration

1 year