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In addition to meeting the clinical criteria for initial PA request approval, renewal PA requests for Spinraza require the submission of medical records (for example, chart notes, assessment of neurological and motor function) with the most recent results (less than one month prior to the submission of the renewal PA request) documenting a positive clinical response to Spinraza therapy from pretreatment baseline status as demonstrated by one or more of the following exams: Renewal PA requests for Spinraza used to treat SMA may be approved for up to 365 days