{"id":383,"date":"2026-07-23T18:40:43","date_gmt":"2026-07-23T18:40:43","guid":{"rendered":"https:\/\/moizes.adv.br\/blog\/?p=383"},"modified":"2026-07-23T18:40:44","modified_gmt":"2026-07-23T18:40:44","slug":"andembry-garadacimabe","status":"publish","type":"post","link":"https:\/\/moizes.adv.br\/blog\/andembry-garadacimabe\/","title":{"rendered":"Plano negou  Andembry (garadacimabe)? Entenda seus direitos"},"content":{"rendered":"<div class=\"taxonomy-category wp-block-post-terms\"><a href=\"https:\/\/moizes.adv.br\/blog\/category\/direito-da-saude\/planos-de-saude\/negativa-de-cobertura\/medicamentos\/\" rel=\"tag\">Medicamentos<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/moizes.adv.br\/blog\/category\/blog\/\" rel=\"tag\">Blog<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/moizes.adv.br\/blog\/category\/direito-da-saude\/\" rel=\"tag\">Direito da Sa\u00fade<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/moizes.adv.br\/blog\/category\/direito-da-saude\/direitos-do-paciente\/\" rel=\"tag\">Direitos do Paciente<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/moizes.adv.br\/blog\/category\/direito-da-saude\/planos-de-saude\/\" rel=\"tag\">Planos de Sa\u00fade<\/a><\/div>\n\n\n<p class=\"wp-block-paragraph\">Quem convive com o angioedema heredit\u00e1rio sabe o quanto as crises de incha\u00e7o podem ser dolorosas e perigosas. Por isso, um medicamento que previne essas crises, como o Andembry (garadacimabe), traz al\u00edvio e tamb\u00e9m d\u00favidas: o plano de sa\u00fade \u00e9 obrigado a cobrir? Este artigo explica o que \u00e9 o Andembry e o que a legisla\u00e7\u00e3o e os tribunais dizem sobre sua cobertura pelo plano de sa\u00fade.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O que \u00e9 o Andembry (garadacimabe)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O Andembry, cujo princ\u00edpio ativo \u00e9 o garadacimabe, \u00e9 um medicamento aprovado pela Anvisa para a preven\u00e7\u00e3o do angioedema heredit\u00e1rio (AEH). Essa \u00e9 uma doen\u00e7a gen\u00e9tica rara que provoca incha\u00e7os repentinos e dolorosos na pele, nas mucosas e em \u00f3rg\u00e3os internos. Em alguns casos, as crises podem afetar as vias respirat\u00f3rias e colocar a vida em risco.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O medicamento age bloqueando uma <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482253\/\" target=\"_blank\" rel=\"noopener\">prote\u00edna do sangue (o Fator XII ativado)<\/a>. Isso reduz a produ\u00e7\u00e3o da subst\u00e2ncia respons\u00e1vel pelas crises. \u00c9 indicado para a preven\u00e7\u00e3o em pacientes a partir de 12 anos com os tipos I e II da doen\u00e7a. Os estudos apontam redu\u00e7\u00e3o expressiva na frequ\u00eancia das crises.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Quando o plano de sa\u00fade deve cobrir o Andembry<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O cen\u00e1rio jur\u00eddico \u00e9 favor\u00e1vel ao paciente por um motivo central: o Andembry tem registro na Anvisa. Com o registro, deixa de ser aplic\u00e1vel o principal argumento usado para negar cobertura de medicamentos novos, que \u00e9 a aus\u00eancia de registro no pa\u00eds, com base no <a href=\"https:\/\/www.stj.jus.br\/sites\/portalp\/Paginas\/Comunicacao\/Noticias-antigas\/2018\/2018-11-13_08-05_Repetitivo-desobriga-planos-de-fornecer-medicamento-nao-registrado-pela-Anvisa.aspx\" target=\"_blank\" rel=\"noopener\">Tema 990 do STJ<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A discuss\u00e3o, ent\u00e3o, avan\u00e7a para terreno em que a jurisprud\u00eancia costuma ser favor\u00e1vel ao consumidor. A <a href=\"https:\/\/www.planalto.gov.br\/ccivil_03\/_ato2019-2022\/2022\/lei\/l14454.htm\" target=\"_blank\" rel=\"noopener\">Lei 14.454\/2022<\/a> estabelece que o rol da ANS \u00e9 uma refer\u00eancia b\u00e1sica, e n\u00e3o um limite. Mesmo que o Andembry ainda n\u00e3o conste do rol, a cobertura pode ser exigida quando h\u00e1 comprova\u00e7\u00e3o de efic\u00e1cia e indica\u00e7\u00e3o m\u00e9dica. O pr\u00f3prio registro na Anvisa j\u00e1 \u00e9 forte evid\u00eancia de seguran\u00e7a e efic\u00e1cia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O que a lei determina<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A <a href=\"https:\/\/www.planalto.gov.br\/ccivil_03\/leis\/l9656.htm\" target=\"_blank\" rel=\"noopener\">Lei 9.656\/1998<\/a> permite \u00e0 operadora definir as doen\u00e7as cobertas, mas n\u00e3o o tipo de tratamento. Essa escolha \u00e9 prerrogativa do m\u00e9dico que assiste o paciente. O C\u00f3digo de Defesa do Consumidor se aplica aos planos de sa\u00fade, conforme a <a href=\"https:\/\/www.stj.jus.br\/internet_docs\/biblioteca\/clippinglegislacao\/Sumula_608_2018_segunda_secao.pdf\" target=\"_blank\" rel=\"noopener\">S\u00famula 608 do STJ<\/a> (exceto autogest\u00e3o). Isso permite reconhecer como abusivas cl\u00e1usulas que excluam tratamento imprescind\u00edvel \u00e0 sa\u00fade.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O que dizem os tribunais<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ainda n\u00e3o h\u00e1 decis\u00f5es espec\u00edficas sobre o Andembry, por se tratar de medicamento muito recente. No entanto, o STJ tem entendimento consolidado de que, se a doen\u00e7a tem cobertura contratual, o plano n\u00e3o pode limitar ou escolher o tratamento utilizado. Essa prerrogativa \u00e9 do m\u00e9dico. Havendo indica\u00e7\u00e3o m\u00e9dica para um tratamento com registro na Anvisa, a recusa em fornec\u00ea-lo pode ser considerada pr\u00e1tica abusiva. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Um erro comum: achar que doen\u00e7a rara fica &#8216;fora&#8217; do plano<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9 comum pensar que, por ser uma doen\u00e7a rara e o medicamento de alto custo, o plano n\u00e3o teria obriga\u00e7\u00e3o de cobrir. N\u00e3o \u00e9 assim. A raridade da doen\u00e7a e o custo do tratamento n\u00e3o afastam, por si s\u00f3s, o dever de cobertura quando h\u00e1 registro na Anvisa e indica\u00e7\u00e3o m\u00e9dica.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O que fazer diante de uma negativa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diante de uma recusa, costumam ser importantes: um laudo m\u00e9dico detalhado, explicando a necessidade do Andembry e por que outras terapias n\u00e3o s\u00e3o adequadas ao caso; a negativa por escrito da operadora; e o comprovante de registro na Anvisa. Em situa\u00e7\u00f5es de gravidade, \u00e9 poss\u00edvel pleitear judicialmente uma tutela de urg\u00eancia. Cada caso exige an\u00e1lise individual por um advogado de confian\u00e7a.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclus\u00e3o<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O Andembry (garadacimabe) \u00e9 uma op\u00e7\u00e3o importante para prevenir as crises do angioedema heredit\u00e1rio. Por j\u00e1 ter registro na Anvisa, o principal obst\u00e1culo \u00e0s a\u00e7\u00f5es de cobertura n\u00e3o se aplica. Os fundamentos para discutir a cobertura pelo plano de sa\u00fade s\u00e3o s\u00f3lidos. A recusa baseada apenas na aus\u00eancia no rol pode ser questionada \u00e0 luz da lei e do entendimento dos tribunais.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se este artigo foi \u00fatil, leia tamb\u00e9m nosso conte\u00fado sobre\u00a0<a href=\"https:\/\/moizes.adv.br\/blog\/plano-de-saude-negou-medicamento\/\">negativa de cobertura de medicamentos pelo plano de sa\u00fade<\/a>\u00a0e sobre\u00a0<a href=\"https:\/\/moizes.adv.br\/blog\/rol-da-ans-plano-de-saude-negativa-abusiva\/\">como funciona o Rol da ANS<\/a>.<\/p>\n\n\n<div class=\"taxonomy-post_tag wp-block-post-terms\"><a href=\"https:\/\/moizes.adv.br\/blog\/tag\/negativa-de-medicamento\/\" rel=\"tag\">Negativa de Medicamento<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/moizes.adv.br\/blog\/tag\/rol-da-ans\/\" rel=\"tag\">Rol da ANS<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/moizes.adv.br\/blog\/tag\/tutela-de-urgencia\/\" rel=\"tag\">Tutela de Urg\u00eancia<\/a><\/div>\n\n\n<h2 class=\"wp-block-heading\">FAQ: perguntas frequentes sobre Andembry (garadacimabe)<\/h2>\n\n\n\t\t<div class=\"sp-easy-accordion-block sp-eab-regular-accordion alignwide\"\n\t\t\t\t>\n\t\t\t<div class=\"sp-eab-wrapper sp-eab-vertical-accordion sp-eab-657461e90a77\">\n\t\t\t\t\t\t\t\t<div class='sp-eab-accordion sp-eab-mode-vertical sp-eab-vertical-one sp-d-flex' data-accordion-settings=\"{&quot;mode&quot;:&quot;vertical&quot;,&quot;activeEvent&quot;:&quot;click&quot;,&quot;defaultAccordionOpen&quot;:&quot;first-item&quot;,&quot;selectedItemOpen&quot;:0,&quot;openMultiItemAtaTime&quot;:false,&quot;scrollToTopOnLoad&quot;:false,&quot;scrollToTopOnClick&quot;:false,&quot;accordionItemToUrl&quot;:false,&quot;animationEffect&quot;:false,&quot;applyAccessibility&quot;:true}\">\n        \t    \t\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-020db22e664b\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tPara que serve o Andembry e quem pode usar?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">O Andembry serve para prevenir as crises de angioedema heredit\u00e1rio (AEH). Ele \u00e9 indicado para pacientes a partir de 12 anos com os tipos I e II da doen\u00e7a. O medicamento age bloqueando uma prote\u00edna do sangue para reduzir a produ\u00e7\u00e3o da subst\u00e2ncia que causa os incha\u00e7os.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-3ef8911074f0\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tO Andembry j\u00e1 foi aprovado pela Anvisa?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">Sim, o Andembry possui registro na Anvisa. Essa aprova\u00e7\u00e3o \u00e9 uma forte evid\u00eancia de sua seguran\u00e7a e efic\u00e1cia para a preven\u00e7\u00e3o do angioedema heredit\u00e1rio. O registro tamb\u00e9m \u00e9 fundamental para exigir a cobertura pelo plano de sa\u00fade.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-9718ec21906a\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tO plano de sa\u00fade \u00e9 obrigado a cobrir o Andembry?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">A cobertura pode ser exigida quando h\u00e1 indica\u00e7\u00e3o m\u00e9dica e registro na Anvisa. A Lei 14.454\/2022 estabelece que o rol da ANS \u00e9 apenas uma refer\u00eancia b\u00e1sica. Al\u00e9m disso, o STJ entende que o plano n\u00e3o pode limitar o tratamento se a doen\u00e7a tem cobertura contratual.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-daa4c21bb5f4\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tO Andembry est\u00e1 no rol da ANS?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">O Andembry \u00e9 um medicamento recente e pode ainda n\u00e3o constar no rol da ANS. No entanto, a aus\u00eancia no rol n\u00e3o impede a cobertura pelo plano de sa\u00fade. A legisla\u00e7\u00e3o atual permite exigir o tratamento com base na indica\u00e7\u00e3o m\u00e9dica e na efic\u00e1cia comprovada.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-1b58ade79b8a\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tO Andembry est\u00e1 dispon\u00edvel no SUS?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">O registro na Anvisa significa que o medicamento pode ser comercializado no Brasil, mas n\u00e3o garante sua inclus\u00e3o autom\u00e1tica no SUS. A incorpora\u00e7\u00e3o ao sistema p\u00fablico depende de avalia\u00e7\u00e3o espec\u00edfica do Minist\u00e9rio da Sa\u00fade. Pacientes que dependem do SUS devem consultar as alternativas dispon\u00edveis na rede p\u00fablica.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-de431eb4aa25\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tQuanto custa o tratamento com Andembry?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">O Andembry \u00e9 considerado um medicamento de alto custo. O valor exato varia conforme a dosagem e as condi\u00e7\u00f5es de mercado. Por ser um tratamento cont\u00ednuo e de valor elevado, muitos pacientes buscam a cobertura pelo plano de sa\u00fade.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-4017aa28a34c\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tO que fazer se o plano de sa\u00fade negar o Andembry?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">O primeiro passo \u00e9 reunir um laudo m\u00e9dico detalhado que justifique a necessidade do medicamento. Tamb\u00e9m \u00e9 importante ter a negativa por escrito da operadora e o comprovante de registro na Anvisa. Em casos urgentes, \u00e9 poss\u00edvel buscar uma tutela de urg\u00eancia na Justi\u00e7a.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-7b3c2af87ad3\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tJ\u00e1 existe decis\u00e3o judicial obrigando a cobertura do Andembry?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">Ainda n\u00e3o h\u00e1 decis\u00f5es espec\u00edficas dos tribunais sobre o Andembry, pois \u00e9 um medicamento muito recente. Contudo, a jurisprud\u00eancia costuma ser favor\u00e1vel ao paciente em casos semelhantes. Os ju\u00edzes costumam aplicar o entendimento de que a escolha do tratamento cabe ao m\u00e9dico.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-081a2da54427\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-e90a77\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-e90a77'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\tO plano pode negar o Andembry por ser doen\u00e7a rara?\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-e90a77'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">N\u00e3o, a raridade da doen\u00e7a n\u00e3o afasta o dever de cobertura. Se o contrato cobre a doen\u00e7a, o plano deve fornecer o tratamento indicado pelo m\u00e9dico. A recusa baseada apenas no fato de ser uma doen\u00e7a rara ou de alto custo pode ser considerada abusiva.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\n\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Cormorant+Garamond:wght@500;600;700&#038;family=Source+Sans+3:wght@400;500;600;700&#038;display=swap\" rel=\"stylesheet\">\n<style>\n#gmc-cta *{box-sizing:border-box;margin:0;padding:0;}\n#gmc-cta{font-family:\"Source Sans 3\",system-ui,Arial,sans-serif;background:#1C2B4A;color:#fff;padding:46px 24px;text-align:center;border-radius:6px;margin:34px 0;}\n#gmc-cta .in{max-width:620px;margin:0 auto;}\n#gmc-cta h2{font-family:\"Cormorant Garamond\",Georgia,serif;font-weight:600;font-size:clamp(26px,4vw,38px);color:#fff;max-width:620px;margin:0 auto;line-height:1.12;letter-spacing:-.01em;}\n#gmc-cta p{color:rgba(255,255,255,.78);margin:16px auto 28px;max-width:480px;line-height:1.6;font-size:16px;}\n#gmc-cta .btn{display:inline-flex;align-items:center;gap:9px;background:#C8A96E;color:#0D1A30;font-size:15px;font-weight:600;padding:14px 24px;border-radius:2px;text-decoration:none;transition:background .2s;}\n#gmc-cta .btn:hover{background:#F0D9A8;}\n#gmc-cta .btn svg{width:17px;height:17px;}\n<\/style>\n<section id=\"gmc-cta\">\n  <div class=\"in\">\n    <h2>Tem um caso parecido com algum desses?<\/h2>\n    <p>Conte o que aconteceu. A avalia\u00e7\u00e3o inicial \u00e9 sem compromisso \u2014 e o prazo do seu direito j\u00e1 est\u00e1 correndo.<\/p>\n    <a class=\"btn\" href=\"https:\/\/wa.me\/5511952218110?text=Ol%C3%A1%2C%20vim%20pelo%20blog%20e%20gostaria%20de%20avaliar%20o%20meu%20caso.\" target=\"_blank\" rel=\"noopener\">\n      <svg viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.75.46 3.45 1.32 4.95L2 22l5.25-1.38c1.45.79 3.08 1.21 4.79 1.21h.01c5.46 0 9.91-4.45 9.91-9.91C21.96 6.45 17.5 2 12.04 2zm5.8 14.04c-.25.7-1.44 1.33-1.99 1.41-.53.08-1.18.11-1.9-.12-.44-.14-1-.32-1.72-.64-3.03-1.31-5-4.36-5.16-4.56-.15-.2-1.23-1.64-1.23-3.12 0-1.49.78-2.22 1.06-2.52.28-.3.61-.38.81-.38.2 0 .41 0 .58.01.19.01.44-.07.69.53.25.6.86 2.09.94 2.24.08.15.13.33.03.53-.1.2-.15.33-.3.5-.15.18-.32.39-.45.53-.15.15-.31.31-.13.61.18.3.79 1.3 1.69 2.11 1.17 1.04 2.15 1.36 2.46 1.51.3.15.48.13.66-.08.18-.2.76-.89.96-1.19.2-.3.41-.25.69-.15.28.1 1.76.83 2.07.98.3.15.5.22.58.35.07.12.07.72-.18 1.42z\"\/><\/svg>\n      Avaliar meu caso\n    <\/a>\n  <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Andembry (garadacimabe) . Entenda o que \u00e9 o Andembry (garadacimabe), quando o plano de sa\u00fade deve cobrir a preven\u00e7\u00e3o do angioedema heredit\u00e1rio e o que diz a lei. (<\/p>\n","protected":false},"author":1,"featured_media":384,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_thinkrank_schema_form_data":"","_thinkrank_selected_schema_type":"","_thinkrank_additional_schemas":"","_thinkrank_canonical_url":"","_thinkrank_og_title":"","_thinkrank_og_description":"","_thinkrank_og_image":"","_thinkrank_twitter_title":"","_thinkrank_twitter_description":"","_thinkrank_twitter_image":"","_thinkrank_imported_from":"","_thinkrank_focus_keywords":[],"_thinkrank_focus_keyword":"","_thinkrank_robots_meta_enabled":0,"_thinkrank_robots_meta":"","_thinkrank_advanced_robots_meta":"","_thinkrank_primary_category":0,"footnotes":""},"categories":[69,1,66,82,67],"tags":[33,46,49],"class_list":["post-383","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicamentos","category-blog","category-direito-da-saude","category-direitos-do-paciente","category-planos-de-saude","tag-negativa-de-medicamento","tag-rol-da-ans","tag-tutela-de-urgencia"],"_links":{"self":[{"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/posts\/383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/comments?post=383"}],"version-history":[{"count":1,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/posts\/383\/revisions"}],"predecessor-version":[{"id":385,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/posts\/383\/revisions\/385"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/media\/384"}],"wp:attachment":[{"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/media?parent=383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/categories?post=383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/moizes.adv.br\/blog\/wp-json\/wp\/v2\/tags?post=383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}