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Romvimza (vimseltinib)Highmark

symptomatic tenosynovial giant cell tumor (TGCT) where surgical resection may cause worsening functional limitation or severe morbidity

Initial criteria

  • age ≥ 18 years
  • diagnosis of symptomatic TGCT (ICD-10: D21, D48.1, M12, M65)
  • prescriber attests that surgical resection may cause worsening functional limitation OR severe morbidity

Reauthorization criteria

  • prescriber attests member is tolerating therapy
  • prescriber attests member has experienced disease improvement OR delayed disease progression

Approval duration

12 months