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Iwilfin (eflornithine tablets - US WorldMeds)Cigna

Neuroblastoma

Initial criteria

  • Patient has high-risk disease; AND
  • The medication is being used to reduce the risk of relapse; AND
  • Patient has had at least a partial response to prior multiagent, multimodality therapy including anti-GD2 immunotherapy (e.g., Unituxin [dinutuximab intravenous infusion])

Approval duration

1 year