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Braftovi (encorafenib)United Healthcare

Non-small cell lung cancer (NSCLC)

Initial criteria

  • Diagnosis of non-small cell lung cancer (NSCLC)
  • Presence of BRAF V600E mutation
  • Disease is advanced OR recurrent 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