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Zejula (niraparib)United Healthcare

BRCA-2 altered uterine leiomyosarcoma (LMS)

Initial criteria

  • Diagnosis of BRCA-2 altered uterine leiomyosarcoma (LMS)
  • Disease is advanced, recurrent/metastatic, or inoperable
  • Used as second-line or subsequent therapy

Reauthorization criteria

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

Approval duration

12 months