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