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Mavenclad (cladribine)United Healthcare

Relapsing forms of multiple sclerosis (MS) including relapsing-remitting disease and active secondary progressive disease

Initial criteria

  • Diagnosis of relapsing forms of multiple sclerosis (MS)
  • AND
  • Patient has not already received the FDA-recommended limit of 2 lifetime treatment courses (4 treatment cycles) of Mavenclad

Reauthorization criteria

  • Documentation of positive clinical response to Mavenclad
  • AND
  • Patient has not already received the FDA-recommended limit of 2 lifetime treatment courses (4 treatment cycles) of Mavenclad

Approval duration

2 months (initial); 2 months (reauthorization, limited to 1 reauthorization allowing 2 cumulative treatment courses [4 treatment cycles])