Motegrity™
Drug - Motegrity™ (prucalopride) [Shire US Manufacturing Inc.]
July 2019
Therapeutic area - Gastrointestinal (GI) Motility, Chronic
Approval criteria
Patient must:
- Be ≥ 18 years old AND
- Have diagnosis of chronic idiopathic constipation (CIC) AND
- Not have any of the following:
- hypersensitivity to prucalopride OR
- intestinal perforation or obstruction due to structural or functional disorder of the gut wall, obstructive ileus OR
- severe inflammatory conditions of the intestinal tract (e.g., Crohn’s disease, ulcerative colitis, toxic megacolon/megarectum) OR
- history of QT prolongation AND
- Have a trial and failure of or inadequate response to ≥ 2 preferred traditional laxative therapies (e.g., polyethylene glycol, lactulose) AND
- Have a trial and failure of ≥ 1 newer products indicated for CIC (e.g., linaclotide, lubiprostone)
Renewal criteria
- Patient must continue to meet the above criteria AND
- Patient must have documented efficacy/prescriber is able to provide verification of clinical improvement AND
- Patient has not experienced any treatment-restricting adverse effects (e.g., hypersensitivity, suicidal ideation)
Quantity limits
Questions?
MHCP Provider Call Center 651-431-2700 or 800-366-5411