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Somatuline Depot (lanreotide)Medica

Acromegaly

Initial criteria

  • Patient has had an inadequate response to surgery and/or radiotherapy OR patient is not an appropriate candidate for surgery and/or radiotherapy OR patient is experiencing negative effects due to tumor size (e.g., optic nerve compression)
  • Patient has (or had) a pre-treatment (baseline) insulin-like growth factor-1 (IGF-1) level above the upper limit of normal (ULN) based on age and gender for the reporting laboratory
  • Medication is prescribed by or in consultation with an endocrinologist

Reauthorization criteria

  • Prescriber continues to be an endocrinologist or in consultation with one
  • Continued need for treatment as determined by clinical assessment

Approval duration

1 year