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Filspari (sparsentan)Point32Health

Primary immunoglobulin A nephropathy (IgAN) at risk for disease progression

Initial criteria

  • Documented diagnosis of immunoglobulin A nephropathy confirmed by kidney biopsy
  • Documented urine protein-to-creatinine ratio (UPCR) ≥ 1.5 g/g
  • Documented estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73 m2
  • Prescribed by or in consultation with a nephrologist
  • Documentation that the patient has not developed end stage renal disease by requiring either dialysis or a kidney transplant

Reauthorization criteria

  • Documented diagnosis of immunoglobulin A nephropathy confirmed by kidney biopsy
  • Prescribed by or in consultation with a nephrologist
  • Documentation of a positive clinical response as evidenced by a reduction in proteinuria
  • Documentation that the patient has not developed end stage renal disease by requiring either dialysis or a kidney transplant

Approval duration

initial 9 months, reauth 12 months