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abiraterone 500 mgBlue Cross Blue Shield of Texas

stage four advanced metastatic cancer or associated condition

Preferred products

  • generic abiraterone 250 mg tablets

Initial criteria

  • ONE of the following:
  • A. BOTH of the following: 1. Prescriber has stated or documented stage four advanced metastatic cancer and requested agent treats cancer or associated condition; AND 2. Use consistent with best practices, supported by evidence, FDA approved.
  • B. Patient currently treated and stable on requested agent [chart notes required].
  • C. Tried and inadequate response to generic abiraterone 250 mg tablets [chart notes required].
  • D. Generic abiraterone 250 mg discontinued due to lack of efficacy or adverse event [chart notes required].
  • E. Intolerance or hypersensitivity to generic abiraterone tablets not expected with requested agent [chart notes required].
  • F. FDA labeled contraindication to generic abiraterone tablets not expected with requested agent [chart notes required].
  • G. Generic abiraterone tablets expected ineffective, cause adherence barrier, worsen comorbid condition, decrease functional ability, or cause harm [chart notes required].
  • H. Generic abiraterone tablets not in best interest of patient [chart notes required].
  • I. Tried another drug in same class or mechanism as abiraterone tablets and discontinued due to inefficacy or adverse event [chart notes required].
  • J. Support for use of requested agent over generic abiraterone 250 mg tablets.