Skip to content
The Policy VaultThe Policy Vault

Jaypirca (pirtobrutinib tablets)Cigna

Waldenström Macroglobulinemia/Lymphoplasmacytic Lymphoma

Initial criteria

  • Patient age ≥ 18 years AND
  • Patient has tried at least one systemic regimen that includes one or more of the following: Brukinsa (zanubrutinib), Imbruvica (ibrutinib), rituximab, bendamustine, cyclophosphamide, dexamethasone, bortezomib, Kyprolis (carfilzomib), or Ninlaro (ixazomib)

Approval duration

1 year