Payer PolicyActive
Lamzede® (velmanase alfa-tycv intravenous infusion)
EVICORE-MEDICAL_DRUG-4AD6B1B7
EviCore by Evernorth
Effective: August 1, 2024
Updated: January 13, 2026
created · Dec 4, 2025
Policy Summary
Lamzede is covered for non‑central nervous system manifestations of alpha‑mannosidosis in FDA‑approved adult and pediatric patients, while CNS manifestations are excluded. Coverage requires alpha‑mannosidase activity <10% in blood leukocytes, biallelic pathogenic MAN2B1 variants, documentation of non‑CNS disease, prescription or consultation by a geneticist/endocrinologist/metabolic or lysosomal disorder specialist, dosing at 1 mg/kg IV weekly, and approvals are limited to 12 months.
Coverage Criteria Preview
Key requirements from the full policy
"Lamzede (velmanase alfa-tycv) is indicated for the treatment of non-central nervous system manifestations of alpha-mannosidosis in adult and pediatric patients."
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