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Balversa (erdafitinib)CareFirst (Caremark)

Urothelial carcinoma – Bladder cancer

Initial criteria

  • Diagnosis of bladder cancer with FGFR3 genetic alterations
  • Used as a single agent
  • Used as subsequent therapy
  • Patient has one of the following: Stage II disease with tumor present following reassessment 2–3 months after primary treatment with concurrent bladder-preserving chemoradiotherapy and maximal transurethral resection of bladder tumor (TURBT), OR locally advanced disease, OR metastatic disease, OR local recurrence, OR persistent disease in a preserved bladder

Reauthorization criteria

  • No evidence of unacceptable toxicity or disease progression while on current regimen

Approval duration

12 months