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Agamree (vamorolone)United Healthcare

Duchenne muscular dystrophy (DMD)

Preferred products

  • prednisone

Initial criteria

  • Published clinical evidence shows Agamree is likely to produce equivalent therapeutic results as other available corticosteroids (e.g., prednisone)
  • Agamree is not medically necessary for treatment of Duchenne muscular dystrophy
  • Agamree is typically excluded from coverage
  • State mandates may apply
  • Any federal regulatory requirements and the member specific benefit plan coverage may also impact coverage criteria
  • Tried/Failed criteria may be in place (refer to plan specifics to determine exclusion status)