Skip to content
The Policy VaultThe Policy Vault

Tepmetko (tepotinib)United Healthcare

Non-small cell lung cancer (NSCLC) harboring MET exon 14 skipping alterations

Initial criteria

  • Diagnosis of non-small cell lung cancer
  • Disease is recurrent, advanced, or metastatic
  • Tumor is MET exon 14 skipping mutation positive

Reauthorization criteria

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

Approval duration

12 months