What are drugs treating pulmonary hypertension?
For treating pulmonary hypertension, drugs such as diuretics, vasodilators, endothelin receptor antagonists, phosphodiesterase inhibitors, and prostacyclin analogs may be used. The clinical indications for these drugs are to reduce pulmonary arterial pressure and improve symptoms of pulmonary hypertension.
Prior authorization justifications for drugs for treating pulmonary hypertension are that the pulmonary hypertension has progressed despite maximal medical and/or surgical treatment, the mean pulmonary artery pressure is greater than 25 mm Hg at rest or greater than 30 mm Hg with exertion, and the beneficiary has significant symptoms from the pulmonary hypertension (severe dyspnea on exertion, and either fatigability, angina, or syncope). A medical claim for drugs for treating pulmonary hypertension may be denied if these criteria are not met.
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