Imbruvica (ibrutinib) — United Healthcare
Chronic Graft Versus Host Disease (cGVHD)
Initial criteria
- Diagnosis of chronic graft versus host disease AND history of failure of at least one other systemic therapy (e.g., corticosteroids, mycophenolate, etc.)
Reauthorization criteria
- Patient shows evidence of positive clinical response while on Imbruvica therapy
Approval duration
12 months