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Odomzo (sonidegib)CareFirst (Caremark)

Locally advanced basal cell carcinoma that has recurred following surgery or radiation therapy or in patients who are not candidates for surgery or radiation therapy

Initial criteria

  • Member is an adult (age ≥ 18 years)
  • Drug is used as a single agent for treatment of locally advanced or diffuse (e.g., Gorlin syndrome) basal cell carcinoma

Reauthorization criteria

  • Member has no evidence of unacceptable toxicity while on therapy
  • Member has no disease progression while receiving therapy

Approval duration

12 months