Yonsa (abiraterone acetate tablets - Sun Pharmaceutical) — Cigna
Prostate Cancer – Metastatic, Castration-Resistant
Initial criteria
- Medication is used in combination with methylprednisolone or dexamethasone; AND
- Patient meets ONE of the following (i or ii):
- i. Medication is concurrently used with a gonadotropin-releasing hormone (GnRH) analog (e.g., leuprolide acetate, Lupron Depot, Trelstar, Zoladex, Vantas, Firmagon, Orgovyx); OR
- ii. Patient has had a bilateral orchiectomy.
Approval duration
1 year