Multaq — United Healthcare
persistent atrial fibrillation
Initial criteria
- Diagnosis of a history of one of the following: (1) Paroxysmal atrial fibrillation (AF) (2) Persistent AF defined as AF less than 6 months duration
- AND Patient is in sinus rhythm OR Patient is planned to undergo cardioversion to sinus rhythm
- AND Patient has none of the following: (1) NYHA Class IV heart failure (2) Symptomatic heart failure with recent decompensation requiring hospitalization
Reauthorization criteria
- Continuation of current therapy
Approval duration
12 months