Yorvipath — Medical 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