Absorica — CareFirst (Caremark)
high risk for developing skin cancer (squamous cell cancers)
Initial criteria
- Patient has a diagnosis of neuroblastoma, cutaneous T-cell lymphoma (CTCL) (e.g., mycosis fungoides, Sézary syndrome), is at high risk for developing skin cancer (squamous cell cancers), transient acantholytic dermatosis (Grover’s Disease), keratosis follicularis (Darier Disease), lamellar ichthyosis, OR pityriasis rubra pilaris
Approval duration
12 months