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Odomzo (sonidegib)Highmark

locally advanced basal cell carcinoma (laBCC)

Initial criteria

  • age ≥ 18 years
  • Diagnosis of locally advanced basal cell carcinoma (ICD-10: C44.01-C44.92)
  • Member has experienced recurrence following surgery or radiation therapy OR member is not a candidate for surgery or radiation therapy

Reauthorization criteria

  • Prescriber attests that the member is tolerating therapy and has experienced a therapeutic response defined as disease improvement or delayed disease progression

Approval duration

12 months