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Abirtega™ (abiraterone acetate tablets – CivicaScript)Cigna

Prostate Cancer – Metastatic, Castration-Resistant

Initial criteria

  • Patient age ≥ 18 years
  • Medication is used in combination with prednisone or dexamethasone
  • Patient meets ONE of the following: (i) Medication is concurrently used with a gonadotropin-releasing hormone (GnRH) analog OR (ii) Patient has had a bilateral orchiectomy

Approval duration

1 year