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Lenvima (lenvatinib)United Healthcare

Differentiated thyroid cancer (DTC)

Initial criteria

  • Diagnosis of differentiated thyroid cancer (DTC)
  • Disease is locally recurrent, metastatic, progressive, or symptomatic
  • Disease is radioactive iodine-refractory or ineligible

Reauthorization criteria

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

Approval duration

12 months