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Tazverik (tazemetostat)United Healthcare

epithelioid sarcoma

Initial criteria

  • Diagnosis of epithelioid sarcoma
  • Disease is one of the following: metastatic OR locally advanced
  • Disease is not eligible for complete resection

Reauthorization criteria

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

Approval duration

12 months