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Kisqali Femara Co-Pack (ribociclib/letrozole)United Healthcare

Advanced, recurrent, or metastatic breast cancer

Initial criteria

  • Diagnosis of advanced, recurrent, or metastatic breast cancer
  • AND Disease is hormone receptor (HR)-positive
  • AND Disease is human epidermal growth factor receptor 2 (HER2)-negative

Reauthorization criteria

  • Patient does not show evidence of progressive disease while on Kisqali Femara Co-Pack therapy

Approval duration

12 months