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Rukobia (fostemsavir extended-release tablets)Cigna

Human immunodeficiency virus-1 (HIV-1) infection

Initial criteria

  • Patient is age ≥ 18 years; AND
  • Diagnosis of HIV-1 infection; AND
  • Patient is heavily treatment-experienced with multidrug-resistant HIV-1 infection; AND
  • Rukobia will be used in combination with an optimized background regimen including one or more other antiretroviral agents; AND
  • Documentation that the patient has failed, is intolerant to, or has resistance to other available antiretroviral agents per guidelines

Reauthorization criteria

  • Medication will continue to be taken in combination with an optimized antiviral background regimen including one or more other antiretroviral agents; AND
  • Patient has responded to a Rukobia-containing regimen, as determined by the prescriber (examples of a response include HIV RNA < 40 cells/mm³, HIV-1 RNA ≥ 0.5 log reduction from baseline in viral load, improvement or stabilization of CD4 T-cell count)

Approval duration

12 months