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Tepmetko (tepotinib tablets)Cigna

Non-Small Cell Lung Cancer (advanced or metastatic, MET exon 14 skipping mutation or high-level MET amplification)

Initial criteria

  • Patient age ≥ 18 years; AND
  • Diagnosis of advanced or metastatic non-small cell lung cancer; AND
  • ONE of the following:
  • • Patient has mesenchymal epithelial transition (MET) exon 14 skipping mutation as detected by an approved test; OR
  • • Patient has high-level MET amplification as detected by an approved test.

Approval duration

1 year