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Akeega (niraparib and abiraterone acetate tablets – Janssen Biotech)Cigna

Prostate cancer – metastatic castration-resistant prostate cancer (mCRPC) with deleterious or suspected deleterious BRCA mutation

Initial criteria

  • Patient is age ≥ 18 years; AND
  • Patient has metastatic castration-resistant prostate cancer; AND
  • Patient has a BRCA mutation; AND
  • Medication is used in combination with prednisone; AND
  • Patient meets ONE of the following (i or ii):
  • i. Medication is used concurrently with a gonadotropin-releasing hormone (GnRH) analog (examples: leuprolide acetate, Lupron Depot, Trelstar, Zoladex, Vantas, Firmagon, Orgovyx); OR
  • ii. Patient has had a bilateral orchiectomy.

Approval duration

1 year