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The Policy VaultThe Policy Vault

YorvipathMedical Mutual

Chronic Hypoparathyroidism

Initial criteria

  • Patient cannot be well-controlled on calcium supplements and active forms of vitamin D according to the prescriber; AND
  • Patient has sufficient 25-hydroxyvitamin D stores (at baseline before initiating Yorvipath therapy) according to the prescriber; AND
  • Patient meets ONE of the following: (a) Patient has an albumin-corrected serum calcium concentration ≥ 7.8 mg/dL at baseline before initiating Yorvipath therapy; OR (b) Patient has an ionized serum calcium ≥ 4.4 mg/dL at baseline before initiating Yorvipath therapy; AND
  • The medication is prescribed by or in consultation with an endocrinologist.

Reauthorization criteria

  • Patient cannot be well-controlled on calcium supplements and active forms of vitamin D according to the prescriber; AND
  • Patient has sufficient 25-hydroxyvitamin D stores (during Yorvipath therapy) according to the prescriber; AND
  • Patient is responding to Yorvipath therapy according to the prescriber. Response includes reduction in the patient’s oral calcium dose; reduction in the patient’s active vitamin D dose; and maintenance of a stable albumin-corrected total serum calcium concentration.

Approval duration

365 days