Re: ampyra
Anonymous member feedback:
"We have an open formulary so it is covered under tier 3 with PA. Our PA criteria includes:
1) Prescriber by Neurologist
2) Diagnosis of MS
3) EDSS score between 2.5-6.5
4) No renal impairment (moderate to severe)
5) No history of seizures
6) Dosed 10mg BID
We also have renewal criteria after 4 months:
1) Improvement in timed walking speed
2) Dosed 10mg BID"
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