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Xalkori (crizotinib capsules and oral pellets)Cigna

Non-Small Cell Lung Cancer – ROS1 Rearrangement-Positive

Initial criteria

  • Patient age ≥ 18 years
  • Patient has advanced or metastatic disease
  • Patient has ROS1 rearrangement-positive disease
  • Mutation detected by an approved test

Approval duration

1 year