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Filspari (sparsentan)United Healthcare

primary immunoglobulin A nephropathy (IgAN)

Preferred products

  • maximally tolerated ACE inhibitor (e.g., captopril, enalapril)
  • maximally tolerated ARB (e.g., candesartan, valsartan)
  • glucocorticoid (e.g., methylprednisolone, prednisone)
  • SGLT2 inhibitor (e.g., Jardiance)
  • Vanrafia

Initial criteria

  • Diagnosis of primary immunoglobulin A nephropathy (IgAN) confirmed by renal biopsy
  • Patient is at risk of disease progression
  • Used to slow kidney function decline
  • Used to reduce proteinuria
  • Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73 m2
  • Patient is on a maximized stable dose with one of the following prior to initiating therapy: maximally tolerated angiotensin converting enzyme (ACE) inhibitor (e.g., captopril, enalapril) OR maximally tolerated angiotensin II receptor blocker (ARB) (e.g., candesartan, valsartan)
  • Use of renin-angiotensin-aldosterone system (RAAS) inhibitors (e.g., ACE inhibitors, ARBs), endothelin receptor antagonists (ERAs) (e.g., Letairis, Opsumit, Tracleer), and Tekturna will be discontinued prior to initiating treatment
  • History of failure (after a 30-day trial), contraindication or intolerance to a glucocorticoid (e.g., methylprednisolone, prednisone)
  • History of failure (after a 30-day trial), contraindication or intolerance to a SGLT2 inhibitor (e.g., Jardiance)
  • History of failure (after a 30-day trial), contraindication or intolerance to Vanrafia
  • Prescribed by or in consultation with a nephrologist

Reauthorization criteria

  • Documentation of positive clinical response demonstrated by a reduction in proteinuria

Approval duration

12 months