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Ofev (nintedanib)United Healthcare

Systemic sclerosis-associated interstitial lung disease (SSc-ILD)

Initial criteria

  • Diagnosis of systemic sclerosis-associated interstitial lung disease (SSc-ILD) as documented by all of the following:
  • One of the following:
  • Skin thickening of the fingers of both hands extending proximal to the metacarpophalangeal joints
  • At least two of the following:
  • Skin thickening of the fingers (e.g., puffy fingers, sclerodactyly of the fingers)
  • Fingertip lesions (e.g., digital tip ulcers, fingertip pitting scars)
  • Telangiectasia
  • Abnormal nailfold capillaries
  • Pulmonary arterial hypertension
  • Raynaud’s phenomenon
  • SSc-related autoantibodies (e.g., anticentromere, anti-topoisomerase I, anti-RNA polymerase III)
  • Presence of interstitial lung disease as determined by evidence of pulmonary fibrosis on HRCT involving at least 10% of the lungs
  • Ofev is not used in combination with Esbriet
  • Prescriber is a pulmonologist

Reauthorization criteria

  • Documentation of positive clinical response to Ofev therapy
  • Ofev is not used in combination with Esbriet

Approval duration

12 months