Specialty pharmacy benefit — both Ionis products are self-injected, specialty-only
Back to payer list
72 patients today
2 updatesJun 1, 2026 May 18, 2026
Louisiana Department of Health · PBM: Fee-for-service · Louisiana
Louisiana Medicaid
Published Dawnzera PA criteria with a 12-month approval duration.
Medicaid FFS
Live from the coverage database
Policy Posture and UM Criteria by Indication
| INDICATION | STATUS | PUBLISHED CRITERIA | AUTH DURATION | EFFECTIVE | SOURCE | CONFIDENCE |
|---|---|---|---|---|---|---|
| Dawnzera (HAE) | Published — Favorable | Confirmed HAE diagnosis, minimum age 12. Continuation requires documented positive response and confirmation the patient is not concurrently on another HAE prophylaxis medication. | 12 months (initiation and continuation) | 2026-04-01 | Donidalorsen (Dawnzera) PA Criteria | Sourced |
Coverage Update YTD
2Across all sources
Treated Lives — Tryngolza (FCS)
72Patients 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)
M1 · 6M4 · 17M8 · 32M12 · 48M18 · 61M24 · 72
50-state distribution · illustrative
Treated Lives by State — Tryngolza (FCS)
Fewer patientsMore patients
SD high
AI SUMMARY
Tryngolza — FCS Coverage Source Summary
State PDL criteria published for Tryngolza FCS with genetic confirmation and specialist prescribing.
Historical coverage trend
Tryngolza — FCS Lives Coverage Trend
% of lives by access status across historical snapshots.
CoveredPreferredNot coveredUnknown
Covered
92%+81 pts
Preferred
78%+70 pts
Not covered
8%-12 pts
Unknown
32%+23 pts
Latest source details
Tryngolza — FCS Coverage Details
3 source views
| Source | Payment Type | Policy Status | Latest Detail |
|---|---|---|---|
| MMIT Searchlight | Commercial | Published — Restricted | Syndicated data reflects the most recent policy language for this indication. |
| FRM submission | Medicare | Limited visibility | Field team confirms account-level nuance not yet captured in syndicated sources. |
| Market Access submission | Medicaid | Limited visibility | State/plan-level detail requires validation against current directories. |
Brand-specific feed
Latest Updates
MMIT Searchlight
Latest source refresh confirms no material change to published criteria this cycle.
FRM submission
Field notes on account-level access nuance submitted for validation.
Brand documents
Shared Documents
PDF, DOC, PNG or JPG · max 20 MB
Policy PDF
Uploaded by Market Access Team
Latest updated: Jun 1, 2026