Industry News

Patients New to Nubeqa Will be Subject to New Prior Authorization Criteria

Effective January 1, 2025, patients with Aetna® Medicare Advantage or SilverScript® coverage who have metastatic hormone-sensitive prostate cancer (mHSPC) and are new to NUBEQA® are subject to new prior authorization (PA) criteria. Some patients may be required to step through another medication before a PA for NUBEQA is approved.

Patients with other Aetna plans, including commercial and Medicaid plans, other CVS Caremark® formularies, and plans through other insurance carriers are not affected. Additionally, mHSPC patients already on NUBEQA and patients with non-metastatic castration-resistant prostate cancer are not affected.

To learn more, visit  Bayer Access Services

Posted on 2/4/2025


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