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Cabometyx (cabozantinib)United Healthcare

Differentiated Thyroid Cancer (DTC)

Initial criteria

  • Diagnosis of differentiated thyroid cancer (DTC)
  • Disease is locally advanced or metastatic
  • Disease has progressed following prior VEGFR-targeted therapy
  • Disease is radioactive iodine-refractory or ineligible

Reauthorization criteria

  • Patient does not show evidence of progressive disease while on Cabometyx therapy

Approval duration

12 months