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Welireg (belzutifan)Highmark

locally advanced, unresectable, or metastatic pheochromocytoma or paraganglioma (PPGL)

Initial criteria

  • age ≥ 12 years
  • diagnosis of locally advanced, unresectable, or metastatic pheochromocytoma OR paraganglioma

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