Purified Cortrophin Gel® (repository corticotropin injection)

Purified Cortrophin Gel (repository corticotropin) is generally not approved/covered despite FDA‑approved indications because of insufficient updated clinical efficacy evidence and potential long‑term safety concerns. Requests would only be considered for an FDA‑approved indication and must meet the plan’s coverage guidelines, though this policy provides no specific documentation requirements or detailed criteria.

"Rheumatic disorders"

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