Skip to content
The Policy VaultThe Policy Vault

Lorbrena (lorlatinib tablets)Cigna

Non-Small Cell Lung Cancer – ROS1 Rearrangement-Positive

Initial criteria

  • Patient age ≥ 18 years
  • Patient has advanced or metastatic disease
  • Patient has ROS1 rearrangement-positive disease
  • Patient has tried at least one of Xalkori (crizotinib capsules), Zykadia (ceritinib capsules or tablets), or Rozlytrek (entrectinib capsules)

Approval duration

1 year