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Rezlidhia (olutasidenib)Highmark

relapsed or refractory acute myeloid leukemia (AML)

Initial criteria

  • age ≥ 18 years
  • diagnosis of relapsed or refractory AML (ICD-10 C92)
  • disease is IDH1 mutation-positive as detected by an FDA-approved test

Reauthorization criteria

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

Approval duration

12 months