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Jakafi (ruxolitinib tablets)Cigna

Polycythemia Vera

Initial criteria

  • Patient age ≥ 18 years
  • Patient has tried hydroxyurea, Pegasys (peginterferon alfa-2a subcutaneous injection), or Besremi (ropeginterferon alfa-2b-njft subcutaneous injection)

Approval duration

1 year