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The Policy VaultThe Policy Vault

Lorbrena (lorlatinib)United Healthcare

non-small cell lung cancer (NSCLC)

Preferred products

  • Augtyro (repotrectinib)
  • Rozlytrek (entrectinib)
  • Xalkori (crizotinib)
  • Zykadia (ceritinib)

Initial criteria

  • Diagnosis of NSCLC
  • AND one of the following:
  • Disease is recurrent, advanced, or metastatic AND anaplastic lymphoma kinase (ALK)-positive
  • OR Disease is advanced, metastatic, or recurrent AND ROS proto-oncogene 1 (ROS1)-positive AND Disease has progressed on at least one of the following therapies: Augtyro (repotrectinib) OR Rozlytrek (entrectinib) OR Xalkori (crizotinib) OR Zykadia (ceritinib)

Reauthorization criteria

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

Approval duration

12 months