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The Policy VaultThe Policy Vault

MektoviCigna

Non-Small Cell Lung Cancer, BRAF V600E mutation-positive disease

Preferred products

  • Mekinist

Initial criteria

  • Approve for 1 year if the patient meets ONE of the following (A or B):
  • A) Patient meets BOTH of the following (i and ii):
  • i. Patient meets the standard Oncology – Mektovi Prior Authorization Policy criteria; AND
  • ii. Patient meets ONE of the following (a or b):
  • a) Patient has tried Mekinist; OR
  • b) Patient is currently receiving Mektovi;
  • B) If the patient has met the standard Oncology – Mektovi PA Policy criteria, but has not met the exception criteria above (Aii), offer to review for the Preferred Product using the standard Oncology – Mekinist PA Policy criteria.

Approval duration

1 year