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Itovebi (inavolisib)Highmark

Endocrine-resistant, locally advanced or metastatic breast cancer

Initial criteria

  • age ≥ 18 years
  • Diagnosis of endocrine-resistant, locally advanced or metastatic breast cancer (ICD-10: C50)
  • Disease is HR-positive, HER2-negative
  • Disease is PIK3CA-mutated as detected by an FDA-approved test
  • Used in combination with palbociclib (Ibrance) AND fulvestrant
  • Experienced recurrence on or after completing adjuvant endocrine therapy

Reauthorization criteria

  • Prescriber attests the member is tolerating therapy AND has experienced a therapeutic response defined as disease improvement OR delayed disease progression

Approval duration

12 months