Fasenra® (benralizumab)
EVICORE-MEDICAL_DRUG-B88EA754
Covered: Fasenra (benralizumab) is covered as add‑on maintenance therapy for FDA‑labeled severe eosinophilic asthma in patients ≥6 years (not covered for <6 years or non‑eosinophilic asthma), with dosing per label including pediatric weight‑based dosing. Key requirements: initial approval (6 months) requires blood eosinophils ≥150 cells/µL within 6 weeks, ≥3 months of ICS plus another controller, asthma uncontrolled by specified criteria (≥2 steroid bursts or ≥1 hospitalization/ER, FEV1<80% predicted, FEV1/FVC<0.80, or steroid‑taper worsening), and prescription by/consult with an allergist/immunologist/pulmonologist; reauthorization (12 months) requires ≥6 months on Fasenra, continued ICS use, and documented clinical response.
"For pediatric patients: weight documentation to support dosing (i."
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