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Welireg (belzutifan)Highmark

advanced renal cell carcinoma (RCC) with a clear cell component

Initial criteria

  • age ≥ 18 years
  • diagnosis of advanced renal cell carcinoma (RCC) with a clear cell component
  • received prior treatment with a PD-1 inhibitor (e.g., pembrolizumab, nivolumab) OR a PD-L1 inhibitor (e.g., avelumab)
  • received prior treatment with a VEGF-TKI (e.g., axitinib, cabozantinib, lenvatinib)

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