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Pemazyre (pemigatinib)Highmark

relapsed or refractory myeloid/lymphoid neoplasms (MLN) with FGFR1 rearrangement

Initial criteria

  • age ≥ 18 years
  • diagnosis of relapsed or refractory myeloid/lymphoid neoplasm (ICD-10: D47.1)
  • disease harbors FGFR1 rearrangement

Reauthorization criteria

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

Approval duration

12 months