Payer PolicyActive
Taliglucerase, Velaglucerasa alfa (Elelyso, VPRIV)
EVICORE-MEDICAL_DRUG-3C2335C6
EviCore by Evernorth
Effective: January 1, 2019
Updated: January 13, 2026
created · Dec 4, 2025
Policy Summary
Elelyso (taliglucerase alfa) and VPRIV (velaglucerase alfa) are covered for Type 1 Gaucher disease in patients aged ≥4 years (no off‑label uses meet evidence standards), with approval for 12 months only after documentation of glucocerebrosidase deficiency by enzyme assay or genetic testing. Prescribers must monitor for serious hypersensitivity—including anaphylaxis and reported immune‑mediated skin reactions—and discontinue infusion and treat immediately if anaphylaxis occurs.
Coverage Criteria Preview
Key requirements from the full policy
"Elelyso ® (taliglucerase alfa) and VPRIV ® (velaglucerase alfa) are indicated for the treatment of individuals with Type 1 Gaucher disease."
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