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Tagrisso (osimertinib tablets – AstraZeneca)Cigna

Non-Small Cell Lung Cancer – Unresectable, Stage III

Initial criteria

  • Patient age ≥ 18 years
  • Patient has locally advanced, unresectable (stage III) disease
  • Patient has EGFR exon 19 deletions or exon 21 (L858R) substitution mutation as detected by an approved test
  • Patient has not had disease progression during or following platinum-based chemoradiation therapy
  • Note: Patient could have received concurrent or sequential chemoradiation therapy

Approval duration

1 year