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Jaypirca (pirtobrutinib tablets)Cigna

Mantle Cell Lymphoma

Initial criteria

  • Patient age ≥ 18 years AND
  • Patient has tried at least one systemic chemotherapy regimen OR is not a candidate for chemotherapy AND
  • Patient has tried one Bruton tyrosine kinase (BTK) inhibitor (e.g., Brukinsa [zanubrutinib], Calquence [acalabrutinib], Imbruvica [ibrutinib])

Approval duration

1 year