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Lorbrena (lorlatinib tablets)Cigna

Non-Small Cell Lung Cancer – Anaplastic Lymphoma Kinase (ALK)-Positive

Initial criteria

  • Patient age ≥ 18 years
  • Patient has advanced or metastatic disease
  • Patient has anaplastic lymphoma kinase (ALK)-positive disease
  • The mutation was detected by an approved test

Approval duration

1 year