Obizur® (Antihemophilic Factor [Recombinant], Porcine Sequence)
EVICORE-MEDICAL_DRUG-58A87C2B
Obizur is covered only for on‑demand treatment, control (and guideline‑supported prevention) of bleeding episodes in adults (≥18 years) with acquired hemophilia A and is not covered for other diagnoses (e.g., congenital hemophilia A, pediatric/other bleeding disorders). Coverage requires prescribing by or consultation with a hemophilia specialist, initial dosing of 200 units/kg with titration based on factor VIII recovery and clinical response, documentation of diagnosis/age/dosing/response/factor VIII levels and applicable safety criteria, and is approved for up to 12 months.
"On‑demand treatment and control of bleeding episodes in adults with acquired hemophilia A (FDA‑approved indication)."
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