Vitrakvi (larotrectinib capsules and oral solution - Bayer) — Cigna
Solid tumors that have a neurotrophic receptor tyrosine kinase (NTRK) gene fusion without a known acquired resistance mutation; are metastatic or where surgical resection is likely to result in severe morbidity; and have no satisfactory alternative treatments or that have progressed following treatment
Initial criteria
- The tumor is positive for neurotrophic receptor tyrosine kinase (NTRK) gene fusion; AND
- Patient meets ONE of the following (i or ii):
- i. The tumor is metastatic; OR
- ii. Surgical resection of tumor will likely result in severe morbidity.
Approval duration
1 year