FDA-approved, for example:

• Myocardial infarction (Brilinta, prasugrel, Zontivity)
• Nonvalvular atrial fibrillation (Eliquis, Pradaxa, Savaysa)
• Peripheral artery disease (PAD) (Zontivity)
• Prophylaxis of DVT and PE in patients undergoing total hip replacement surgery (Pradaxa)
• Prophylaxis of DVT in patients undergoing knee or hip replacement surgery (Eliquis)
• Prophylaxis of DVT in patients undergoing total hip replacement surgery (Iprivask)
• Reduction in the risk of recurrence of DVT and/or PE (Eliquis, Pradaxa)
• Reduction in the risk of death and recurrent stroke in patients who have had a transient ischemic attack (TIA), or an ischemic stroke (Durlaza)
• Reduction of risk of major CV events in chronic coronary artery disease (CAD)/PAD (Xarelto)
• Secondary prevention of CV and cerebrovascular events and at risk of developing aspirin-associated gastric ulcers (Yosprala)
• Secondary prophylaxis to reduce the risk of death and myocardial infarction in patients with chronic CAD (Durlaza)
• Treatment of DVT and/or PE (Eliquis, Pradaxa, Savaysa)
• Unstable angina (Brilinta, prasugrel)

Note: The above list may not include all FDA-approved indications.

Please note: In the case where the prior authorization (PA) status column indicates PA, both the brand and generic (if available) require PA. Typically, the generic is preferred when available unless the brand-name drug appears on the MassHealth Brand Name Preferred Over Generic Drug List. In general, when requesting the non-preferred version, whether the brand or generic, the prescriber must provide medical records documenting an inadequate response or adverse reaction to the preferred version, in addition to satisfying the criteria for the drug itself.

• All PA requests must include clinical diagnosis, drug name, dose, and frequency.
• A preferred drug may be designated for this therapeutic class. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing a non-preferred drug within a therapeutic class. Additional information about these agents, including PA requirements and preferred products, can be found within the MassHealth Drug List at www.mass.gov/druglist.
• Additional criteria may apply, depending upon the member’s condition and requested medication (see below).

Brilinta

• Documentation of all of the following is required: 
  • diagnosis of non-ST elevation myocardial infarction, ST-elevation myocardial infarction, or unstable angina; and
  • requested quantity ≤ 60 tablets/30 days; and
  • member is NOT on > 100 mg/day of concomitant aspirin therapy; and
  • one of the following:
    • member has been started and stabilized on the medication in the hospital; or
    • inadequate response, adverse reaction, or contraindication to clopidogrel; or
    • clinical rationale for bypassing clopidogrel trial.

Durlaza

• Documentation of all of the following is required: 
  • appropriate diagnosis; and
  • inadequate response or adverse reaction to one aspirin product that does not require PA; and
  • medical necessity for extended-release formulation; and
  • requested quantity ≤ 30 tablets/30 days.

Eliquis 2.5 mg for prophylaxis of DVT in knee or hip replacement surgery

• Documentation of all of the following is required:
  • appropriate diagnosis; and
  • requested quantity is ≤ 24 tablets/365 days following knee replacement surgery; or
  • requested quantity is ≤ 70 tablets/365 days following hip replacement surgery.

Eliquis 2.5 mg and 5 mg, Pradaxa 75 mg and 150 mg, and Savaysa for nonvalvular atrial fibrillation

• Documentation of all of the following is required:
  • appropriate diagnosis; and
  • adverse reaction or contraindication to warfarin; or
  • inadequate response to ≥ 30 days of warfarin for reasons other than noncompliance; or
  • medical necessity for anticoagulation that does not require INR monitoring.

Eliquis 5 mg and Starter Pack for treatment of DVT and/or PE

• Documentation of all of the following is required:
  • appropriate diagnosis; and
  • appropriate dose and duration of therapy; and
  • adverse reaction or contraindication to warfarin; or
  • inadequate response to ≥ 30 days of warfarin for reasons other than noncompliance; or
  • medical necessity for anticoagulation that does not require INR monitoring.

Eliquis 2.5 mg and Pradaxa 150 mg for reduction in the risk of recurrence of DVT and/or PE following 6 months of treatment

• Documentation of all of the following is required: 
  • appropriate diagnosis; and
  • member has just completed treatment for DVT or PE with apixaban, dabigatran, or rivaroxaban; or
  • adverse reaction or contraindication to warfarin; or
  • inadequate response to ≥ 30 days of warfarin for reasons other than noncompliance; or
  • medical necessity for anticoagulation that does not require INR monitoring.

Iprivask

• Documentation of all of the following is required:      
  • appropriate diagnosis; and
  • member is ≥18 years old; and
  • inadequate response, adverse reaction, or contraindication to fondaparinux; and
  • inadequate response, adverse reaction, or contraindication to warfarin; and
  • one of the following:      
    • inadequate response, adverse reaction, or contraindication to low molecular weight heparin (LMWH); or
    • history of heparin-induced thrombocytopenia (HIT)/thrombosis syndrome (HITTS).

Pradaxa 110 mg > 70 capsules/365 days

• Documentation of all of the following is required:
  • diagnosis of prophylaxis of DVT and PE in members undergoing total hip replacement surgery; and
  • if request is for > 70 capsules/365 days, member is undergoing a second hip replacement surgery within 365 days.

SmartPA: Claims for Pradaxa 110 mg will usually process at the pharmacy without a PA request if within the quantity limit of 70 capsules/35 days and if the member does not have a history of paid MassHealth pharmacy claims for Pradaxa in the past year.^†

Pradaxa 150 mg and Savaysa for treatment of DVT and/or PE

• Documentation of all of the following is required:
  • appropriate diagnosis; and
  • adverse reaction or contraindication to warfarin; or
  • inadequate response to ≥ 30 days of warfarin for reasons other than noncompliance; or
  • medical necessity for anticoagulation that does not require INR monitoring.

prasugrel

• Documentation of all of the following is required: 
  • diagnosis of non-ST elevation myocardial infarction, ST-elevation myocardial infarction, or unstable angina; and
  • member has a history of PCI; and
  • requested quantity ≤ 30 tablets/30 days; and
  • member is also receiving concomitant aspirin therapy; and
  • one of the following: 
    • member has been started and stabilized on the medication in the hospital; or
    • inadequate response, adverse reaction or contraindication to clopidogrel; or
    • clinical rationale for bypassing clopidogrel trial.  

Xarelto 2.5 mg

• Documentation of all of the following is required:
  • diagnosis of reduction of risk of major CV events in chronic CAD/PAD; and
  • member is also receiving concomitant aspirin therapy; and
  • requested quantity ≤ 60 tablets/30 days; and
  • concomitant diagnosis of atrial fibrillation or venous thromboembolic disease; or
  • member is currently stabilized on the requested agent.

Yosprala

• Documentation of all of the following is required: 
  • appropriate diagnosis; and
  • compelling clinical rationale that the combination product would offer a therapeutic advantage over the commercially available separate agents; and
  • requested quantity ≤ 30 tablets/30 days.

Zontivity

• Documentation of all of the following is required: 
  • diagnosis of myocardial infarction or PAD; and
  • requested quantity ≤ 30 tablets/30 days; and
  • member does not have a history of stroke or TIA; and
  • member is also receiving aspirin or clopidogrel.

^†Note: The decision on whether PA is required is based upon information available in the MassHealth medical claim and pharmacy claim databases. The MassHealth database contains member information exclusive to MassHealth, and no other health plans.