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Braftovi (encorafenib)United Healthcare

Melanoma

Initial criteria

  • Diagnosis of melanoma
  • Presence of BRAF V600E mutation
  • Disease is unresectable OR metastatic
  • Used in combination with Mektovi (binimetinib)

Reauthorization criteria

  • Patient does not show evidence of progressive disease while on Braftovi therapy
  • Used in combination with Mektovi (binimetinib)

Approval duration

12 months