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Welireg (belzutifan)Highmark

von Hippel-Lindau (VHL) disease-associated renal cell carcinoma (RCC), CNS hemangioblastoma, or pancreatic neuroendocrine tumor (pNET) not requiring immediate surgery

Initial criteria

  • age ≥ 18 years
  • diagnosis of von Hippel-Lindau (VHL) disease
  • diagnosis of one of the following not requiring immediate surgery: renal cell carcinoma, CNS hemangioblastoma, or pancreatic neuroendocrine tumor

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