Targretin (bexarotene 1% gel – Bausch Health, generic) — Cigna
Primary Cutaneous B-Cell Lymphoma
Initial criteria
- Medication is used as skin-directed therapy for ONE of the following: Primary cutaneous marginal zone lymphoma OR Follicle center lymphoma
- Medication is prescribed by or in consultation with an oncologist or a dermatologist
Approval duration
1 year