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Voranigo (vorasidenib)United Healthcare

Oligodendroglioma

Initial criteria

  • One of the following diagnoses: Astrocytoma OR Oligodendroglioma
  • Presence of IDH1 or IDH2 mutation
  • History of one of the following: Biopsy OR Sub-total resection OR Gross total resection

Reauthorization criteria

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

Approval duration

12 months