Payer PolicyActive
Lenmeldy (atidarsagene autotemcel) - Medicare Advantage
HUMANA-LENMELDY-ATIDARSAGENE-AUTOTEMCEL-MA
Humana
Effective: August 1, 2025
Updated: December 13, 2025
Policy Summary
This policy addresses coverage of Lenmeldy (atidarsagene autotemcel), a gene therapy for metachromatic leukodystrophy (MLD) and related leukodystrophies. It references patients with ARSA‑mutation MLD across late‑infantile, juvenile, and adult‑onset presentations but the provided excerpt contains no explicit covered indications, age/frequency limits, prior‑authorization or exclusion criteria, so coverage is subject to the member’s plan, medical director review, and periodic policy updates (no CMS NCDs/LCDs specified).
Coverage Criteria Preview
Key requirements from the full policy
"Individual 18 years of age or older; OR"
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