Louisiana Healthcare Connections Hepatitis C Virus Direct-Acting Antiviral Agents Treatment Criteria

Daclatasvir (Daklinza®)

Dasabuvir/Ombitasvir/Paritaprevir/Ritonavir (Viekira XR®, Viekira Pak®)

Elbasvir/Grazoprevir(Zepatier®)

Glecaprevir/Pibrentasvir (Mavyret®)

Ledipasvir/Sofosbuvir (Harvoni®)

Simeprevir (Olysio®)

Sofosbuvir (Sovaldi®)

Sofosbuvir/Velpatasvir (Epclusa®)

Sofosbuvir/Velpatasvir/Voxilaprevir (Vosevi®)