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NerlynxMedical Mutual

Breast Cancer, Recurrent or Metastatic Disease

Initial criteria

  • Patient has HER2-positive disease
  • Patient has progressed on 2 or more prior regimens
  • Nerlynx will be used in combination with capecitabine
  • Antidiarrheal prophylaxis will be initiated with the first dose of Nerlynx and provider will adjust the dose as necessary to manage the adverse effect

Reauthorization criteria

  • Extended approval is 1 year for approvable indications

Approval duration

1 year