Esbriet

Drug - Esbriet® (pirfenidone) [InterMune,Inc]

April 2015

Therapeutic area - Idiopathic pulmonary fibrosis

Criteria

Patient has a diagnosis of idiopathic pulmonary fibrosis

Quantity limit

Maximum of 306 capsules per 34-day supply

Questions?

MHCP Provider Call Center 651-431-2700 or 800-366-5411