Reblozyl® (luspatercept-aamt)
EVICORE-MEDICAL_DRUG-D370BF09
Reblozyl is covered for the FDA‑approved non‑oncology indication of anemia in adults (≥18) with transfusion‑dependent beta‑thalassemia and is excluded for patients <18, those who do not meet the transfusion burden criteria (≥6 units in the prior 24 weeks and no transfusion‑free period >35 days) or who have received prior gene therapy for TDT. Coverage requires hematologist prescription/consultation, initial authorization for 4 months (renewable for 12 months), dosing per guidance (start 1 mg/kg SC q3 weeks, may increase to 1.25 mg/kg), and reauthorization only if transfusion burden decreases by ≥2 RBC units over 6 months versus pretreatment baseline.
"Reblozyl is indicated for the treatment of anemia in adult patients with beta thalassemia who require regular red blood cell (RBC) transfusions."
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