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Vonjo (pacritinib capsules)Cigna

Myelofibrosis (including Primary Myelofibrosis, Post-Polycythemia Vera Myelofibrosis, and Post-Essential Thrombocythemia Myelofibrosis)

Initial criteria

  • Patient age ≥ 18 years AND
  • Patient meets ONE of the following (i, ii, or iii):
  • i. Platelet count < 50 × 10^9/L AND ONE of the following (a or b):
  • a) Patient has higher-risk disease; OR
  • b) Patient has BOTH: (1) lower-risk disease AND (2) at least one disease-related symptom (e.g., fatigue, fever, night sweats, weight loss, abdominal discomfort, splenomegaly, thrombocytosis, leukocytosis); OR
  • ii. Platelet count ≥ 50 × 10^9/L AND ALL of the following (a and b):
  • a) Patient has higher-risk disease; AND
  • b) Patient has at least one disease-related symptom (e.g., fatigue, fever, night sweats, weight loss, abdominal discomfort, splenomegaly, thrombocytosis, leukocytosis); OR
  • iii. Patient has myelofibrosis-associated anemia.

Approval duration

1 year