New Rewards Coming Soon!¡Se vienen nuevas recompensas!
Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.
¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.
Clinical Prior Authorization Criteria Update for Repatha (evolocumab)
Date: December 7, 2021
Attention: Primary Care Providers
Effective Date: December 6, 2021Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Texas Medicaid will update the clinical prior authorization criteria for Repatha (evolocumab) to reflect the recent FDA-approved age expansion.
How this impacts providers: Effective December 6, 2021, pediatric patients age 10 and older with heterozygous familial heprercholesterolemia (HeFH) will be eligible to receive Repatha. Previously, this product was approved for patients age 13 and older with homozygous familial hypercholesterolemia (HoFH).
Next steps for providers: Providers will need to use updated prior authorization forms and providers should share this update with their staff as well.
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