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Mekinist oral solutionBlue Cross Blue Shield of Texas

stage four advanced metastatic cancer or associated condition

Preferred products

  • Mekinist oral tablets

Initial criteria

  • ONE of the following:
  • A. Patient weight < 26 kg.
  • B. 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.
  • C. Patient currently treated and stable on requested agent [chart notes required].
  • D. Tried and inadequate response to Mekinist oral tablets [chart notes required].
  • E. Mekinist oral tablets discontinued due to lack of efficacy or adverse event [chart notes required].
  • F. Intolerance or hypersensitivity to Mekinist oral tablets not expected with requested agent [chart notes required].
  • G. FDA labeled contraindication to Mekinist oral tablets not expected with requested agent [chart notes required].
  • H. Mekinist oral tablets expected ineffective, cause adherence barrier, worsen comorbid condition, decrease functional ability, or cause harm [chart notes required].
  • I. Mekinist oral tablets not in best interest of patient [chart notes required].
  • J. Tried another drug in same class or mechanism as Mekinist tablets and discontinued due to inefficacy or adverse event [chart notes required].
  • K. Support for use of requested agent over Mekinist oral tablets (e.g., swallowing difficulties).