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Braftovi (encorafenib)CareFirst (Caremark)

BRAF V600E mutation-positive recurrent, advanced, or metastatic non-small cell lung cancer (NSCLC)

Initial criteria

  • Diagnosis of recurrent, advanced, or metastatic NSCLC with documented BRAF V600E mutation confirmed by FDA-approved or validated test
  • Used in combination with binimetinib (Mektovi)
  • Member has not experienced disease progression on prior BRAF-targeted therapy

Reauthorization criteria

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

Approval duration

12 months