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Tabrecta (capmatinib)United Healthcare

Non-small cell lung cancer (NSCLC)

Initial criteria

  • age ≥ 19 years
  • Diagnosis of non-small cell lung cancer (NSCLC)
  • Presence of mesenchymal-epithelial transition (MET) exon 14 skipping positive tumors OR High level MET amplification in lung cancer

Reauthorization criteria

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

Approval duration

12 months