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PRASTERONE INSERT,VAG

Clinical Criteria Summary

Document 560

Systemic Hormonal Menopausal Therapy (Oral Estrogen Combinations)

  • Dosing Criteria: 0.45 mg conjugated equine estrogens/20 mg bazedoxifene daily
  • Clinical Use Criteria: Bazedoxifene is an alternative to progestin for patients with a uterus
  • Systemic Estrogen Formulary Requirements:
  • Prescribe the lowest effective dose of estrogen
  • Product selection should consider patient symptoms, risk-benefit profile, and patient preference
  • A progestin (or bazedoxifene alternative) must be prescribed for all patients with an intact uterus receiving systemic estrogen to reduce endometrial hyperplasia and cancer risk

Document 784

Exclusion Criteria

  • Undiagnosed abnormal genital bleeding
  • Inclusion Criteria (All must be met)
  • Moderate to severe dyspareunia and/or vaginal dryness as a symptom of vulvar or vaginal atrophy due to menopause
  • Intolerance, inadequate response, or unable to use vaginal estrogen

Additional Inclusion Criteria

  • For patients with known or suspected history of breast cancer: Use a multidisciplinary, shared decision-making approach considering potential unknown risk and benefit.

Source Documents