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