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Hemlibra (emicizumab-kxwh)United Healthcare

Hemophilia A without inhibitors

Initial criteria

  • Diagnosis of hemophilia A
  • Patient has not developed high-titer factor VIII inhibitors (factor VIII inhibitors < 5 Bethesda units [BU])
  • Hemlibra is prescribed for the prevention of bleeding episodes (routine prophylaxis)

Reauthorization criteria

  • Documentation of positive clinical response to Hemlibra therapy

Approval duration

12 months