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Stivarga (regorafenib)United Healthcare

Uterine Sarcoma

Initial criteria

  • Diagnosis of uterine sarcoma
  • Disease is one of the following: Advanced OR Recurrent/metastatic OR Inoperable
  • Used as second-line or subsequent therapy

Reauthorization criteria

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

Approval duration

12 months