{"id":8565,"date":"2026-11-08T20:33:58","date_gmt":"2026-11-09T01:33:58","guid":{"rendered":"https:\/\/www.bidermato.com\/?page_id=8565"},"modified":"2026-11-08T20:42:12","modified_gmt":"2026-11-09T01:42:12","slug":"reimbursement-criteria-prurigo-nodularis","status":"publish","type":"page","link":"https:\/\/www.bidermato.com\/en\/reimbursement-criteria-prurigo-nodularis\/","title":{"rendered":"Reimbursement criteria &#8211; Prurigo nodularis"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-17oseyl-0b237d7cbecd2ced8d5123719b438259 entry-content-wrapper main_color av-fixed-cells  avia-builder-el-0  el_before_av_one_full  avia-builder-el-first   container_wrap fullsize'  >\n<br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-164f3el-e1b7c8450c31bc40bfaf04cdb80ca843\">\n.flex_cell.av-164f3el-e1b7c8450c31bc40bfaf04cdb80ca843{\nvertical-align:top;\nheight:12px;\nmin-height:12px;\nbackground-color:#00aec7;\n}\n.responsive #top #wrap_all .flex_cell.av-164f3el-e1b7c8450c31bc40bfaf04cdb80ca843{\npadding:0px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-164f3el-e1b7c8450c31bc40bfaf04cdb80ca843 av-gridrow-cell av_one_fourth no_margin  avia-builder-el-1  el_before_av_cell_one_fourth  avia-builder-el-first  content-align-top av-zero-padding'  ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-13xliml-b856858b35be9dca5764c82a72920f24\">\n.flex_cell.av-13xliml-b856858b35be9dca5764c82a72920f24{\nvertical-align:top;\nheight:12px;\nmin-height:12px;\nbackground-color:#f4364c;\n}\n.responsive #top #wrap_all .flex_cell.av-13xliml-b856858b35be9dca5764c82a72920f24{\npadding:0px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-13xliml-b856858b35be9dca5764c82a72920f24 av-gridrow-cell av_one_fourth no_margin  avia-builder-el-2  el_after_av_cell_one_fourth  el_before_av_cell_one_fourth  content-align-top av-zero-padding'  ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3wpugd-a58ea4436cc0bb7d5ece033d6e05aa68\">\n.flex_cell.av-3wpugd-a58ea4436cc0bb7d5ece033d6e05aa68{\nvertical-align:top;\nheight:12px;\nmin-height:12px;\nbackground-color:#003b5c;\n}\n.responsive #top #wrap_all .flex_cell.av-3wpugd-a58ea4436cc0bb7d5ece033d6e05aa68{\npadding:0px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-3wpugd-a58ea4436cc0bb7d5ece033d6e05aa68 av-gridrow-cell av_one_fourth no_margin  avia-builder-el-3  el_after_av_cell_one_fourth  el_before_av_cell_one_fourth  content-align-top av-zero-padding'  ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-11srbal-bb4b548c721281721731b811e31a2751\">\n.flex_cell.av-11srbal-bb4b548c721281721731b811e31a2751{\nvertical-align:top;\nheight:12px;\nmin-height:12px;\nbackground-color:#bebca9;\n}\n.responsive #top #wrap_all .flex_cell.av-11srbal-bb4b548c721281721731b811e31a2751{\npadding:0px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-11srbal-bb4b548c721281721731b811e31a2751 av-gridrow-cell av_one_fourth no_margin  avia-builder-el-4  el_after_av_cell_one_fourth  avia-builder-el-last  content-align-top av-zero-padding'  ><div class='flex_cell_inner'><\/div><\/div>\n<\/div><div id='after_grid_row_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-8565'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-zoam2l-40b7ee5de6076a5caf8db6ae576b879b\">\n.flex_column.av-zoam2l-40b7ee5de6076a5caf8db6ae576b879b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 30px 0px 30px;\n}\n<\/style>\n<div  class='flex_column av-zoam2l-40b7ee5de6076a5caf8db6ae576b879b av_one_full  avia-builder-el-5  el_after_av_layout_row  el_before_av_layout_row  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-yk4hvx-e7954f50b337f485ee316fae52d7dbe8\">\n#top .av-special-heading.av-yk4hvx-e7954f50b337f485ee316fae52d7dbe8{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-yk4hvx-e7954f50b337f485ee316fae52d7dbe8 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-yk4hvx-e7954f50b337f485ee316fae52d7dbe8 .av-subheading{\nfont-size:20px;\n}\n<\/style>\n<div  class='av-special-heading av-yk4hvx-e7954f50b337f485ee316fae52d7dbe8 av-special-heading-h2 blockquote modern-quote modern-centered  avia-builder-el-6  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >\u00abM\u00c9DICAMENTS D\u2019EXCEPTION\u00bb REIMBURSEMENT CRITERIA<\/h2><div class='av-subheading av-subheading_below'><p>\nfor moderate to severe <span style=\"color: #f4364c;\">PRURIGO NODULARIS<\/span><sup>1<\/sup><\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-l9znu3by-2026d6859e972c041872daad3f0368c3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 style=\"text-align: center;\"><span style=\"color: #00aec7;\">These four criteria must be met for <span style=\"color: #003b5c;\">Dupixent<\/span> :<\/span><\/h3>\n<\/div><\/section><\/p><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av-layout-grid-2'  class='av-layout-grid-container av-2xzugd-a04ebd70963adeca75f92de61b1167fc entry-content-wrapper main_color av-flex-cells  avia-builder-el-8  el_after_av_one_full  el_before_av_layout_row  grid-row-not-first  container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-qtk7d9-a2d2f4a890abe83a2e0f4566c8c3267e\">\n.flex_cell.av-qtk7d9-a2d2f4a890abe83a2e0f4566c8c3267e{\nvertical-align:top;\nbackground-color:#f4364c;\n}\n.responsive #top #wrap_all .flex_cell.av-qtk7d9-a2d2f4a890abe83a2e0f4566c8c3267e{\npadding:30px 35px 50px 35px !important;\n}\n<\/style>\n<div class='flex_cell av-qtk7d9-a2d2f4a890abe83a2e0f4566c8c3267e av-gridrow-cell av_one_half no_margin  avia-builder-el-9  el_before_av_cell_one_half  avia-builder-el-first  content-align-top'  ><div class='flex_cell_inner'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-pawm19-5ba6a43cf9b2a2bb8adf221fe464f1fe\">\n.iconbox.av-pawm19-5ba6a43cf9b2a2bb8adf221fe464f1fe .iconbox_icon{\nbackground-color:#ffffff;\nborder:1px solid #ffffff;\ncolor:#f4364c;\n}\n.iconbox.av-pawm19-5ba6a43cf9b2a2bb8adf221fe464f1fe .iconbox_icon.avia-svg-icon svg:first-child{\nfill:#f4364c;\nstroke:#f4364c;\n}\n.iconbox.av-pawm19-5ba6a43cf9b2a2bb8adf221fe464f1fe .iconbox_content_container{\ncolor:#ffffff;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-pawm19-5ba6a43cf9b2a2bb8adf221fe464f1fe av-no-box  avia-builder-el-10  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><div class='iconbox_icon heading-color avia-iconfont avia-font-trinord' data-av_icon='\ue81f' data-av_iconfont='trinord'  ><\/div><\/header><div class='iconbox_content_container av_inherit_color'  itemprop=\"text\" ><p style=\"text-align: center;\">20 nodules or more<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article>\n<\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2gt9xp-61c0fccf9fb7c59bcc5ba119e44bc9fe\">\n.flex_cell.av-2gt9xp-61c0fccf9fb7c59bcc5ba119e44bc9fe{\nvertical-align:top;\nbackground-color:#00aec7;\n}\n.responsive #top #wrap_all .flex_cell.av-2gt9xp-61c0fccf9fb7c59bcc5ba119e44bc9fe{\npadding:30px 35px 50px 35px !important;\n}\n<\/style>\n<div class='flex_cell av-2gt9xp-61c0fccf9fb7c59bcc5ba119e44bc9fe av-gridrow-cell av_one_half no_margin  avia-builder-el-11  el_after_av_cell_one_half  avia-builder-el-last  content-align-top'  ><div class='flex_cell_inner'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mcfg7h-4ffe8cd345994b08c90f75abbf7dca39\">\n.iconbox.av-mcfg7h-4ffe8cd345994b08c90f75abbf7dca39 .iconbox_icon{\nbackground-color:#ffffff;\nborder:1px solid #ffffff;\ncolor:#00aec7;\n}\n.iconbox.av-mcfg7h-4ffe8cd345994b08c90f75abbf7dca39 .iconbox_icon.avia-svg-icon svg:first-child{\nfill:#00aec7;\nstroke:#00aec7;\n}\n.iconbox.av-mcfg7h-4ffe8cd345994b08c90f75abbf7dca39 .iconbox_content_container{\ncolor:#ffffff;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-mcfg7h-4ffe8cd345994b08c90f75abbf7dca39 av-no-box  avia-builder-el-12  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><div class='iconbox_icon heading-color avia-iconfont avia-font-trinord' data-av_icon='\ue820' data-av_iconfont='trinord'  ><\/div><\/header><div class='iconbox_content_container av_inherit_color'  itemprop=\"text\" ><p style=\"text-align: center;\">Chronic pruritus for more than 6 weeks<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article>\n<\/div><\/div>\n<\/div><\/p>\n<div id='av-layout-grid-3'  class='av-layout-grid-container av-kkwpod-6841ddc6f8b09d69d8d023f71000c33f entry-content-wrapper main_color av-flex-cells  avia-builder-el-13  el_after_av_layout_row  el_before_av_one_full  grid-row-not-first  container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-j46s25-1563ee538337dbc8259e629f85b99ed9\">\n.flex_cell.av-j46s25-1563ee538337dbc8259e629f85b99ed9{\nvertical-align:top;\nbackground-color:#003b5c;\n}\n.responsive #top #wrap_all .flex_cell.av-j46s25-1563ee538337dbc8259e629f85b99ed9{\npadding:30px 35px 50px 35px !important;\n}\n<\/style>\n<div class='flex_cell av-j46s25-1563ee538337dbc8259e629f85b99ed9 av-gridrow-cell av_one_half no_margin  avia-builder-el-14  el_before_av_cell_one_half  avia-builder-el-first  content-align-top'  ><div class='flex_cell_inner'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-i286j1-8f846b3255ac2f39fab47a12249d8043\">\n.iconbox.av-i286j1-8f846b3255ac2f39fab47a12249d8043 .iconbox_icon{\nbackground-color:#ffffff;\nborder:1px solid #ffffff;\ncolor:#003b5c;\n}\n.iconbox.av-i286j1-8f846b3255ac2f39fab47a12249d8043 .iconbox_icon.avia-svg-icon svg:first-child{\nfill:#003b5c;\nstroke:#003b5c;\n}\n.iconbox.av-i286j1-8f846b3255ac2f39fab47a12249d8043 .iconbox_content_container{\ncolor:#ffffff;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-i286j1-8f846b3255ac2f39fab47a12249d8043 av-no-box  avia-builder-el-15  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><div class='iconbox_icon heading-color avia-iconfont avia-font-trinord' data-av_icon='\ue821' data-av_iconfont='trinord'  ><\/div><\/header><div class='iconbox_content_container av_inherit_color'  itemprop=\"text\" ><p style=\"text-align: center;\">Disease control is inadequate despite the use of topical treatment (at least one high- or very-high-potency topical corticosteroid)<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article>\n<\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-fnsgx9-6d600639a1cf2239106adf62692916fe\">\n.flex_cell.av-fnsgx9-6d600639a1cf2239106adf62692916fe{\nvertical-align:top;\nbackground-color:#bebca9;\n}\n.responsive #top #wrap_all .flex_cell.av-fnsgx9-6d600639a1cf2239106adf62692916fe{\npadding:30px 35px 50px 35px !important;\n}\n<\/style>\n<div class='flex_cell av-fnsgx9-6d600639a1cf2239106adf62692916fe av-gridrow-cell av_one_half no_margin  avia-builder-el-16  el_after_av_cell_one_half  avia-builder-el-last  content-align-top'  ><div class='flex_cell_inner'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-e68yhp-5dcfda5489bc451c8d787a9973199e84\">\n.iconbox.av-e68yhp-5dcfda5489bc451c8d787a9973199e84 .iconbox_icon{\nbackground-color:#ffffff;\nborder:1px solid #ffffff;\ncolor:#bebca9;\n}\n.iconbox.av-e68yhp-5dcfda5489bc451c8d787a9973199e84 .iconbox_icon.avia-svg-icon svg:first-child{\nfill:#bebca9;\nstroke:#bebca9;\n}\n.iconbox.av-e68yhp-5dcfda5489bc451c8d787a9973199e84 .iconbox_content_container{\ncolor:#ffffff;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-e68yhp-5dcfda5489bc451c8d787a9973199e84 av-no-box  avia-builder-el-17  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\" aria-label=\"Icon: \"><div class='iconbox_icon heading-color avia-iconfont avia-font-trinord' data-av_icon='\ue822' data-av_iconfont='trinord'  ><\/div><\/header><div class='iconbox_content_container av_inherit_color'  itemprop=\"text\" ><p style=\"text-align: center;\">The disease is insufficiently controlled after 30 or more sessions for 3 months of phototherapy (unless contraindicated, lack of accessibility or lack of effectiveness after 12 sessions for one month)<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article>\n<\/div><\/div>\n<\/div><div id='after_grid_row_3'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-8565'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8wou5-a315de3987408ca998e647eac7a40190\">\n.flex_column.av-8wou5-a315de3987408ca998e647eac7a40190{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-8wou5-a315de3987408ca998e647eac7a40190 av_one_full  avia-builder-el-18  el_after_av_layout_row  el_before_av_section  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l9znwh0d-282ca7ac61d9bd7834727fc6b902ee57\">\n#top .av_textblock_section.av-l9znwh0d-282ca7ac61d9bd7834727fc6b902ee57 .avia_textblock{\ncolor:#003b5c;\n}\n<\/style>\n<section  class='av_textblock_section av-l9znwh0d-282ca7ac61d9bd7834727fc6b902ee57 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p style=\"text-align: center;\">The initial application is authorized for a period of <strong>6 months<\/strong>.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-2sv879-19233f04cfefc3755825cc080e7fc5d6 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 style=\"text-align: center;\"><span style=\"color: #00aec7;\">For the continuation of the treatment, one of these 2 criteria must be met :<\/span><\/h3>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l9znvnii-d5bde79900c1817ffafd58798bf50532\">\n#top .av_textblock_section.av-l9znvnii-d5bde79900c1817ffafd58798bf50532 .avia_textblock{\ncolor:#003b5c;\n}\n<\/style>\n<section  class='av_textblock_section av-l9znvnii-d5bde79900c1817ffafd58798bf50532 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p style=\"text-align: center;\"><strong>Presence of 5 nosules or less<\/strong><\/p>\n<h3 style=\"text-align: center;\">or<\/h3>\n<p style=\"text-align: center;\"><strong>A reduction in the total number of lesions and a decrease of at least 4 points from baseline on the Worst Itch Numerical Rating Scale (WI-NRS) or the Peak Pruritus Numerical Rating Scale (PP-NRS)<\/strong><\/p>\n<p style=\"text-align: center;\">Requests for continued treatment are allowed for up to 12 months<\/p>\n<\/div><\/section><\/p><\/div>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2al2y5-c91d6c490ad767096ff4f41f2db1d359\">\n.avia-section.av-2al2y5-c91d6c490ad767096ff4f41f2db1d359{\nbackground-color:#ebebe5;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-2al2y5-c91d6c490ad767096ff4f41f2db1d359 main_color avia-section-small avia-no-border-styling  avia-builder-el-22  el_after_av_one_full  el_before_av_layout_row  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-8565'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l9zo4g1r-a4b2d5a193563f6360e31d784bfed279\">\n#top .av_textblock_section.av-l9zo4g1r-a4b2d5a193563f6360e31d784bfed279 .avia_textblock{\nfont-size:10px;\n}\n<\/style>\n<section  class='av_textblock_section av-l9zo4g1r-a4b2d5a193563f6360e31d784bfed279 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><sup>1<\/sup> Adapted from : <a href=\"https:\/\/www.ramq.gouv.qc.ca\/fr\/professionnels\/professionnels\/Pages\/liste-medicaments.aspx\" target=\"_blank\" rel=\"noopener\">ANNEXE IV\u00a0: LISTE DES M\u00c9DICAMENTS D\u2019EXCEPTION ET DES INDICATIONS RECONNUES POUR LEUR PAIEMENT (site RAMQ)<\/a><\/p>\n<\/div><\/section>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av-layout-grid-4'  class='av-layout-grid-container av-9a7aml-c32330da4a39b4c5cde7ce70d91ccd09 entry-content-wrapper main_color av-fixed-cells  avia-builder-el-24  el_after_av_section  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