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Anthem Blue Cross has Harvoni

Prior Authorization form here. Similar to Solvaldi.

http://www.anthem.com/provider/noapplication/f0/s0/t0/pw_e225443.pdf?na=pharminfo
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2059648 tn?1439766665
It says "May Not".  That's not a no.  Hang in there.
Helpful - 0
683231 tn?1467323017
Oh no I hope this is not correct. I also noticed at the bottom of the page is did mention Express Sciripts my insurance

Harvoni (sofosbuvir/ledipasvir) may not be approved for the following:

IV. Individual is requesting the regimen for re-treatment and either failed to achieve a SVR (defined as a lower limit HCV RNA of 25 IU/mL) or relapsed after achieving a SVR during a prior successfully completed treatment regimen consisting of sofosbuvir.

Crap
Helpful - 0
683231 tn?1467323017
I am a little worried about one thing there.

It lists Genotype (Treatment and Cirrhosis Status)

Total Approval Duration

Genotype 1 (treatment-experienced, with cirrhosis) 12 weeks

I believe that needs to be 24 weeks hopefully they will correct that information as that is my status GT 1a null responder with cirrhosis.

They aren't my insurance so I hope express scripts does have 24 weeks for tx experience with cirrhosis. I already relapsed on Sovaldi Olysio 12 weeks so pretty sure I will need 24 weeks to get it done and I would just relapse again with only 12 weeks of Harvoni.

Good luck to all
Lynn
Helpful - 0
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