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The Policy VaultThe Policy Vault

Veozah (fezolinetant)United Healthcare

moderate to severe vasomotor symptoms due to menopause

Preferred products

  • hormonal therapy (e.g., estradiol, Premarin, Prempro)
  • non-hormonal therapy [e.g., clonidine, gabapentin, selective serotonin inhibitors (e.g., paroxetine), serotonin and norepinephrine reuptake inhibitors (e.g., venlafaxine)]

Initial criteria

  • Diagnosis of moderate to severe vasomotor symptoms due to menopause
  • AND History of failure (after a 30-day trial), contraindication or intolerance to one of the following: hormonal therapy (e.g., estradiol, Premarin, Prempro) OR non-hormonal therapy [e.g., clonidine, gabapentin, selective serotonin inhibitors (e.g., paroxetine), serotonin and norepinephrine reuptake inhibitors (e.g., venlafaxine)]
  • AND Patient has received baseline hepatic laboratory tests to rule out the presence of underlying liver disease

Reauthorization criteria

  • Documentation of positive clinical response to therapy (e.g., decrease in frequency and severity of vasomotor symptoms from baseline)
  • AND Patient has received periodic evaluation of hepatic laboratory tests to rule out liver injury associated with Veozah use

Approval duration

12 months