Alunbrig — CareFirst (Caremark)
ALK-positive recurrent, advanced, or metastatic non-small cell lung cancer (NSCLC) including brain metastases
Initial criteria
- Diagnosis of ALK-positive recurrent, advanced, or metastatic NSCLC including brain metastases confirmed by an FDA-approved test
- Used as a single agent
Reauthorization criteria
- No evidence of unacceptable toxicity while on the current regimen
Approval duration
12 months