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AlunbrigCareFirst (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