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Truqap (capivasertib)United Healthcare

Breast Cancer

Initial criteria

  • Diagnosis of breast cancer
  • One of the following: Locally advanced OR Recurrent unresectable (local or regional) OR Metastatic
  • Disease is hormone receptor (HR)-positive
  • Disease is human epidermal growth factor receptor 2 (HER2)-negative
  • Presence of one or more PIK3CA/AKT1/PTEN-alterations
  • One of the following: Has progressed on at least one endocrine-based regimen in the metastatic setting (e.g., anastrozole, letrozole, exemestane, tamoxifen) OR Recurrence on or within 12 months of completing adjuvant therapy
  • Used in combination with fulvestrant

Reauthorization criteria

  • Patient does not show evidence of progressive disease while on Truqap therapy
  • Used in combination with fulvestrant

Approval duration

12 months