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Rubraca (rucaparib)United Healthcare

Uterine leiomyosarcoma (uLMS)

Preferred products

  • gemcitabine plus docetaxel
  • doxorubicin

Initial criteria

  • Diagnosis of BRCA altered uterine leiomyosarcoma (uLMS)
  • Disease has progressed following prior treatment with one of the following: gemcitabine plus docetaxel OR doxorubicin

Reauthorization criteria

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

Approval duration

12 months