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TasignaBlue Cross Blue Shield of Illinois

newly diagnosed adult and pediatric patients with Philadelphia chromosome positive chronic myeloid leukemia (Ph+ CML) in chronic phase

Preferred products

  • imatinib (generic)
  • dasatinib (generic)

Initial criteria

  • Patient must meet ALL general initial evaluation criteria
  • 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 (imatinib (generic) or dasatinib (generic)); previous treatment with Bosulif or Tasigna for CML