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The Policy VaultThe Policy Vault

sunitinib malateUnited Healthcare

thyroid carcinoma

Preferred products

  • Caprelsa
  • Cometriq

Initial criteria

  • Option 1:
  • All of the following:
  • Diagnosis of follicular carcinoma, oncocytic carcinoma, or papillary carcinoma
  • AND unresectable locoregional recurrent disease OR persistent disease OR metastatic disease
  • AND symptomatic disease OR progressive disease
  • AND disease refractory to radioactive iodine treatment
  • OR Option 2:
  • Diagnosis of medullary thyroid carcinoma
  • AND progressive disease OR symptomatic metastatic disease
  • AND one of the following:
  • Clinical trials or preferred systemic therapy options are not available or appropriate
  • There is progression on preferred systemic therapy options (e.g., Caprelsa [vandetanib], Cometriq [cabozantinib])

Reauthorization criteria

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

Approval duration

12 months