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Brukinsa (zanubrutinib)CareFirst (Caremark)

Gastric MALT lymphoma (extranodal marginal zone lymphoma of the stomach)

Initial criteria

  • Used as subsequent therapy for members who have received an anti-CD20–based regimen (e.g., rituximab or obinutuzumab).

Reauthorization criteria

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

Approval duration

12 months