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Jakafi (ruxolitinib)Highmark

Myelofibrosis

Initial criteria

  • age ≥ 18 years
  • diagnosis of myelofibrosis that is intermediate or high-risk
  • if new start to therapy, baseline platelet count ≥ 50 x 10^9/L

Reauthorization criteria

  • prescriber attests member has experienced a reduction in spleen size OR improvement in symptoms