Vuity (pilocarpine HCl 1.25%) — Point32Health
Presbyopia
Initial criteria
- Documented diagnosis of presbyopia
- Prescriber is an optometrist or ophthalmologist, or a specialist consult note is provided
- For Vuity: patient age ≥ 40 years; OR For Qlosi: patient age ≥ 45 years
- Documentation of a clinical rationale for not using, or a contraindication to, corrective lenses
Reauthorization criteria
- Documentation of a clinical rationale for not using, or a contraindication to, corrective lenses
- Documentation of positive clinical response to therapy