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Alaska Department of Health · PBM: Fee-for-service · Alaska

Alaska Medicaid

State-specific Dawnzera PA criteria document published.

Medicaid FFS

Live from the coverage database

Policy Posture and UM Criteria by Indication

INDICATIONSTATUSPUBLISHED CRITERIAAUTH DURATIONEFFECTIVESOURCECONFIDENCE
Dawnzera (HAE)Published — RestrictedState-specific PA criteria document published; detail not fully captured in this summary — pull the full policy document.Not specified in summaryNot specified in summaryDawnzera Prior Authorization CriteriaSourced

Coverage Update YTD

1Across all sources

Treated Lives — Tryngolza (FCS)

30Patients on therapy

Ionis Brands Published

1 / 3Have a policy

Pending Policy Changes

0Next 30 days

Months since launch · illustrative

Treated Lives on Therapy — Tryngolza (FCS)

30 patients today
M1 · 2M4 · 7M8 · 14M12 · 20M18 · 26M24 · 30

50-state distribution · illustrative

Treated Lives by State — Tryngolza (FCS)

Fewer patientsMore patients

Specialty pharmacy benefit — both Ionis products are self-injected, specialty-only

30 treated lives on therapy

WY high
MEVTNHMAWAIDMTNDMNWIMINYRIORNVWYSDIAILINOHPANJCTCAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSCAKOKLAMSALGAHITXFL
AI SUMMARY

Tryngolza — FCS Coverage Source Summary

State prior-authorization criteria published for Tryngolza FCS; requirements mirror neighbouring state PDLs.

Historical coverage trend

Tryngolza — FCS Lives Coverage Trend

% of lives by access status across historical snapshots.

CoveredPreferredNot coveredUnknown
100%75%50%25%0%M1M4M8M12M18M24

Covered

92%+82 pts

Preferred

78%+71 pts

Not covered

8%-12 pts

Unknown

32%+24 pts

Latest source details

Tryngolza — FCS Coverage Details

3 source views

SourcePayment TypePolicy StatusLatest Detail
MMIT SearchlightCommercialPublished — RestrictedSyndicated data reflects the most recent policy language for this indication.
FRM submissionMedicareLimited visibilityField team confirms account-level nuance not yet captured in syndicated sources.
Market Access submissionMedicaidLimited visibilityState/plan-level detail requires validation against current directories.

Brand-specific feed

Latest Updates

2 updates

MMIT Searchlight

Latest source refresh confirms no material change to published criteria this cycle.

Jun 1, 2026

FRM submission

Field notes on account-level access nuance submitted for validation.

May 18, 2026

Brand documents

Shared Documents

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Policy PDF

Uploaded by Market Access Team

Latest updated: Jun 1, 2026