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Lynparza (olaparib)United Healthcare

Metastatic pancreatic adenocarcinoma

Initial criteria

  • Diagnosis of pancreatic adenocarcinoma
  • Disease is metastatic
  • Presence of deleterious or suspected deleterious germline BRCA1/2 mutation
  • Disease has not progressed while receiving at least 16 weeks of a first-line platinum-based chemotherapy regimen

Reauthorization criteria

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

Approval duration

12 months