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Tryngolza (olezarsen)United Healthcare

familial chylomicronemia syndrome (FCS)

Initial criteria

  • Diagnosis of familial chylomicronemia syndrome (FCS) (i.e., monogenic chylomicronemia, type 1 hyperlipoproteinemia)

Reauthorization criteria

  • Documentation of positive clinical response to Tryngolza therapy (e.g., reduction in triglycerides, reduction in episodes of acute pancreatitis)

Approval duration

12 months