Encelto™ (revakinagene taroretcel-lwey)
EVICORE-MEDICAL_DRUG-ACC264B9
Encelto (revakinagene taroretcel-lwey) is covered one time per lifetime (one intravitreal implant per affected eye containing 200,000–440,000 allogeneic RPE cells expressing rhCNTF) for adults with idiopathic macular telangiectasia type 2 and is excluded for patients <18 years, those with neovascular/proliferative MacTel, BCVA worse than 54 ETDRS letters or 20/80 Snellen, or for non‑approved indications. Coverage requires documentation of diagnosis, age ≥18, absence of neovascular/proliferative disease, qualifying BCVA (≥54 ETDRS letters or ≥20/80 Snellen), and administration by or under the supervision of an ophthalmologist.
"Encelto is indicated for the treatment of adults with idiopathic macular telangiectasia type 2 (MacTel)."
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