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Xpovio (selinexor)United Healthcare

HHV8-positive diffuse large B-cell lymphoma

Initial criteria

  • Diagnosis of one of: relapsed or refractory diffuse large B-cell lymphoma (DLBCL) including histologic transformation of indolent lymphomas to DLBCL; relapsed or refractory HIV-related DLBCL, primary effusion lymphoma, or HHV8-positive DLBCL; relapsed or refractory monomorphic B-cell type post-transplant lymphoproliferative disorder AND Patient has received at least 2 lines of systemic therapy

Reauthorization criteria

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

Approval duration

12 months