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The Policy VaultThe Policy Vault

AugtyroBlue Cross Blue Shield of Illinois

metastatic ROS1-positive non-small cell lung cancer (NSCLC)

Preferred products

  • Rozlytrek
  • Xalkori

Initial criteria

  • Patient must meet ALL general initial evaluation criteria
  • Requested agent may be approved if patient meets genetic/diagnostic, indication, and therapy use requirements
  • Requested agent is non-preferred for specified indication; approval requires ONE of the following: current stable use; failure, intolerance, contraindication, or non-effectiveness of ONE preferred agent (Rozlytrek or Xalkori); NCCN support for requested agent; or medical necessity justification