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Vykat XR (diazoxide choline extended-release)Point32Health

hyperphagia in adults and pediatric patients age ≥4 years with Prader-Willi syndrome (PWS)

Initial criteria

  • Documented diagnosis of Prader-Willi syndrome (PWS) confirmed by presence of a mutation in chromosome 15
  • Member age ≥4 years
  • Prescribed by or in consultation with an endocrinologist or geneticist
  • Documentation of baseline hyperphagia questionnaire for clinical trials (HQ-CT) score ≥13
  • Prescriber attests that member experiences moderate to severe symptoms of hyperphagia related to PWS and provides documentation of associated symptoms (e.g., food-seeking behaviors)
  • Caregiver has implemented and intends to continue strategies to establish a food-secure environment (e.g., locked food storage)
  • Recent weight documentation (within 30 days) to ensure appropriate dose

Reauthorization criteria

  • Member has experienced an improvement in hyperphagic symptoms such as a decrease in food-related aggression or manipulation, or lessened food preoccupation that interferes with normal daily activities OR prescriber has determined that adult member is likely to still benefit from therapy
  • Member is adherent to therapy and able to successfully swallow the prescribed number of tablets daily
  • Improvement in hyperphagia questionnaire for clinical trials (HQ-CT) score
  • Recent weight documentation (within 30 days) to ensure appropriate dose

Approval duration

initial 6 months; reauth 12 months