Viokace — Point32Health
exocrine pancreatic insufficiency
Preferred products
- Creon
 - Zenpep
 
Initial criteria
- The patient has had a trial of both Step-1 medications (Creon AND Zenpep) as evidenced by a previous paid claim under the prescription benefit administered by the plan within the previous 999 days
 - OR The patient has had a trial of both Step-1 medications as evidenced by physician’s documented use, excluding the use of samples
 - OR The patient has a physician documented contraindication or intolerance to ALL Step-1 medications