Page 15 - CUA Adv Prostate Ca Drug Acccess Listing
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MANITOBA                                                                                                                                                Link to Patient Assistance Programs


                            Funding:
                            CancerCare Manitoba covers in- and outpatient cost of injectable and oral treatments no matter where they are taken.

                            Formularies:
                            For oral drugs, Manitoba Home Cancer Drug Program https://www.gov.mb.ca/health/pharmacare/healthprofessionals.html



                             DRUG                                 Strength,                                                                                                                       References
                             (Brand Name)       Indication        Route          DIN           Provincial Funding Eligibility Criteria
                             Manufacturer
                                                                                                                                                                                                  1.  MB
                                                                                                                                                                                                       Pharmacare
                             Abiraterone                                                       •    Funding unclear; not listed on:            1                                                       Program
                             (Zytiga)           mCRPC                                                    o   MB Pharmacare Drug Formulary                           2                             2.  MB Oral Onc
                             Janssen                                                                     o   MB List of Oral Oncology Drugs Dispensed at CCMB                                          Drugs [8-21]
                                                                                                                                             3
                                                                                                         o   Part E Exceptional Drug Status                                                       3.  MB EDS [8-
                                                                                                                                                                                                       21]
                                                                                                                                                                                                  1.  MB
                                                                  10 mg,         Not
                             Alendronate         -                                             Part One Benefit – no therapeutic criteria attached to the benefit 1                                    Pharmacare
                                                                  70 mg          specified                                                                                                             Program

                                                                                               Eligibility:                                                                                       1.  MB Regimen
                                                                                               •    nmCRPC                                                                                             GENU-apa [2-
                                                                                                              1
                                                                                                         o   Refer to CCMB Formulary for Criteria for Use (unable to identify public formulary         20]
                                                                                                             listing)                                                                             2.  Provincial
                                                                                                                                 2
                                                                                               •    Criteria under consideration:                                                                      Funding
                                                                                                         o   In combination with ADT for the treatment of patients with CRPC who have no               Summary [10-
                                                                                                             detectable distant metastases by either CT, MRI or bone scan and who are at               20]
                                                                                 Not                         high risk of developing metastases.
                                                nmCRPC            60 mg Tab
                                                                                 specified               o   High risk is defined as: i)PSADT ≤ 10 months, ii) CRPC demonstrated during
                                                                                                             continuous ADT/post orchiectomy. Resistance defined as a minimum of 3 rising
                                                                                                             PSA values at an interval of at least 1 week apart with a last PSA level of >2
                             Apalutamide                                                                     ng/mL. Castrate levels of testosterone must be maintained throughout
                             (Erleada)                                                                       apalutamide therapy.
                             Janssen                                                                     o   Patients should have a good performance status and no risk factors for seizures.

                                                                                               Treatment should continue until unacceptable toxicity or radiographic progression.

                                                                                                                                                                                                  1.  Provincial
                                                                                                                                                                                                       Funding
                                                                                                                                                                                                       Summary [10-
                                                                                 Not                                                                                                                   20]
                                                mCSPC             -              specified     Under negotiation with manufacturer













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