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Qfitlia (fitusiran)United Healthcare

Hemophilia A without inhibitors

Preferred products

  • Hympavzi

Initial criteria

  • Diagnosis of hemophilia A
  • Patient has not developed high-titer factor VIII inhibitors (< 5 Bethesda units [BU])
  • age ≥ 12 years
  • Prescribed for the prevention of bleeding episodes (routine prophylaxis)
  • One of the following: Based on clinical assessment, provider has determined patient is not an appropriate candidate for Hympavzi (document reason) OR Both of the following: patient is currently on Qfitlia therapy AND patient has not received a manufacturer supplied sample or any assistance from HemAssist or Sanofi Patient Support

Reauthorization criteria

  • Documentation of positive clinical response to Qfitlia therapy

Approval duration

12 months