Payer PolicyActive
Velaglucerasa alfa (VPRIV)
EVICORE-MEDICAL_DRUG-DDDF3B98
EviCore by Evernorth
Effective: June 1, 2022
Updated: January 13, 2026
created · Dec 4, 2025
Policy Summary
Covered only for the FDA‑approved indication of Type 1 Gaucher disease (other indications excluded). Approval is for 1 year at 60 U/kg IV no more frequently than every 2 weeks and requires documentation of deficient β‑glucocerebrosidase activity OR glucocerebrosidase gene mutation and that the drug is prescribed by or in consultation with a geneticist, endocrinologist, metabolic disorder subspecialist, or lysosomal storage disorder specialist.
Coverage Criteria Preview
Key requirements from the full policy
"Vpriv is indicated for the treatment of individuals with Type 1 Gaucher disease."
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