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Inlyta (axitinib)United Healthcare

alveolar soft part sarcoma (ASPS)

Initial criteria

  • Diagnosis of alveolar soft part sarcoma (ASPS)
  • Inlyta will be used in combination with Keytruda (pembrolizumab)

Reauthorization criteria

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

Approval duration

12 months