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The Policy VaultThe Policy Vault

SofdraMedical Mutual

Hyperhidrosis, Primary Axillary

Initial criteria

  • Patient age ≥ 9 years
  • Symptomatic hyperhidrosis occurs more than once weekly AND symptoms cease at night
  • Qbrexza will ONLY be applied to the axillae (underarms) [documentation required]
  • Patient has tried and failed a clinical strength topical antiperspirant for one month (such as: 20% aluminum chloride hexahydrate, 15% aluminum chloride hexahydrate) unless contraindication exists [documentation required]
  • Hyperhidrosis Disease Severity Scale (HDSS) of 3 or 4 [documentation required]

Reauthorization criteria

  • Patient age ≥ 9 years
  • Qbrexza will ONLY be applied to the axillae (underarms) [documentation required]
  • Patient’s HDSS score has improved by at least two points since starting treatment with glycopyrronium [documentation required]

Approval duration

60 days initial, 1 year continuation