Corifact® (factor XIII concentrate [human]) Tretten® (coagulation factor XIII A-subunit [recombinant])
EVICORE-MEDICAL_DRUG-5CD8FF07
Corifact is covered for routine prophylaxis and perioperative management of congenital Factor XIII deficiency and Tretten is covered for routine prophylaxis of congenital Factor XIII A‑subunit deficiency; non‑congenital/acquired indications are excluded. Approvals are IV only and time‑limited (initial 3 months, renewals 12 months) and require documentation of diagnosis (A‑subunit specified for Tretten), patient weight and FXIII activity labs, and adherence to weight‑based dosing/targets (Corifact ~40 IU/kg every 28 days targeting 5–20% trough; Tretten 35 IU/kg monthly targeting ≥10%, with dose adjustments as needed).
"Corifact is indicated for routine prophylactic treatment of bleeding in adult and pediatric patients with congenital Factor XIII deficiency."
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