Xdemvy (lotilaner ophthalmic solution) — Point32Health
Demodex blepharitis
Initial criteria
- Documented diagnosis of Demodex blepharitis as determined by ALL of the following:
- • Presence of at least mild erythema of the upper eyelid margin
- • Presence of mites upon examination of eyelashes OR presence of collarettes on more than 10 lashes
- AND Patient age ≥ 18 years
- AND Prescribed by an optometrist or ophthalmologist
Reauthorization criteria
- Initial criteria are met
- AND The most recent treatment with Xdemvy was started no sooner than 6 months ago
Approval duration
6 weeks (initial); 6 weeks (reauth); no more than one course per 6 months