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The Policy VaultThe Policy Vault

Sancuso (granisetron transdermal system)CareFirst (Caremark)

Radiation therapy or moderate to highly emetogenic chemotherapy

Initial criteria

  • For Hyperemesis Gravidarum: ALL of the following must be met:
  • • The patient is pregnant.
  • • The patient has a documented risk for hospitalization.
  • • The request is for ondansetron.
  • • The patient has experienced an inadequate treatment response, intolerance, or a contraindication to TWO of the following: dimenhydrinate (Dramamine), diphenhydramine (Benadryl), doxylamine/pyridoxine delayed-release (Diclegis), doxylamine/pyridoxine extended-release (Bonjesta), metoclopramide (Reglan), promethazine (Phenergan), trimethobenzamide (Tigan), vitamin B6, vitamin B6 in combination with doxylamine.
  • For Radiation Therapy or Moderate to Highly Emetogenic Chemotherapy: Authorization may be granted when the patient is receiving radiation therapy or moderate to highly emetogenic chemotherapy.

Approval duration

6 months