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ZtalmyMedical Mutual

Seizures associated with Cyclin-Dependent Kinase-Like 5 (CDKL5) Deficiency Disorder

Initial criteria

  • Patient is age ≥ 2 years
  • Patient has molecularly confirmed pathogenic or likely pathogenic mutation in the CDKL5 gene
  • Medication is prescribed by or in consultation with a neurologist
  • Patient has tried at least two antiseizure medications, each from a different pharmacologic class, unless an intolerance or contraindication exists [documentation required]

Reauthorization criteria

  • Response to therapy is required for continuation of therapy

Approval duration

initial: 6 months; reauth: 1 year