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Venclexta (venetoclax)Highmark

Small Lymphocytic Lymphoma (SLL)

Initial criteria

  • age ≥ 18 years
  • diagnosis of CLL (ICD-10 C91.1) OR SLL (ICD-10 C83.0)

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