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GavretoCareFirst (Caremark)

Advanced or metastatic follicular, oncocytic, or papillary thyroid cancer with RET gene fusion not amenable to radioactive iodine therapy

Initial criteria

  • Documentation of the presence of a rearranged during transfection (RET) gene fusion in tumor specimens or plasma
  • For non-small cell lung cancer: treatment of recurrent, advanced, or metastatic disease when tumors have a RET gene fusion and the member has not experienced disease progression on therapy with a RET rearrangement positive-targeted regimen; use as a single agent
  • For anaplastic thyroid cancer: stage IV disease with a RET gene fusion; use as a single agent
  • For thyroid cancer: member age ≥ 12 years with advanced or metastatic follicular, oncocytic, or papillary thyroid cancer not amenable to radioactive iodine therapy (RAI) whose tumors have a RET gene fusion
  • For gallbladder cancer: neoadjuvant treatment of resectable locoregionally advanced disease that is RET gene fusion positive; use as a single agent

Reauthorization criteria

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

Approval duration

12 months