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The Policy VaultThe Policy Vault

Vitrakvi (larotrectinib)United Healthcare

solid tumors that are metastatic or unresectable

Initial criteria

  • For patients less than 19 years of age: patient is less than 19 years of age
  • For solid tumors: Presence of a solid tumor AND disease is positive for neurotrophic receptor tyrosine kinase (NTRK) gene fusion (e.g., ETV6-NTRK3, TPM3-NTRK1, LMNA-NTRK1, etc.) AND disease is without a known acquired resistance mutation (e.g., TRKA G595R, G623R, G696A, F617L) AND disease is one of the following: metastatic OR unresectable
  • For NCCN recommended regimens: recognized treatment regimen in the NCCN Drugs and Biologics Compendium with a Category of Evidence and Consensus of 1, 2A, or 2B

Reauthorization criteria

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

Approval duration

12 months