Skip to content
The Policy VaultThe Policy Vault

Imbruvica (ibrutinib)Medica

Marginal Zone Lymphoma (including gastric MALT, non-gastric MALT, nodal marginal zone lymphoma, splenic marginal zone lymphoma)

Initial criteria

  • Patient is age ≥ 18 years
  • Patient is continuing therapy with Imbruvica
  • Patient has tried at least one systemic regimen (e.g., bendamustine, rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone, lenalidomide)

Reauthorization criteria

  • Patient continues to meet initial criteria

Approval duration

1 year