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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