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Qinlock (ripretinib)United Healthcare

Cutaneous melanoma

Initial criteria

  • Diagnosis of cutaneous melanoma
  • AND disease is unresectable or metastatic
  • AND positive for activating mutations of KIT
  • AND disease progression, intolerance, and/or projected risk of progression with BRAF-targeted therapy

Reauthorization criteria

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

Approval duration

12 months