Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Kisqali Femara(200 MG Dose) (ribociclib-letrozole)
Drugs for Cancer : Drugs for Cancer
  • PA_APPLIES
  • Prior Authorization: Erectile Dysfunction (ED):
    Duration: 1 year(s)

  • Derm: Acne Vulgaris:
    Duration: 12 Month(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Limited to non-cosmetic use: No

    Topical Psoriasis:
    Duration: 12 Month(s)
    Medical Test Required: No
    Reauthorization Required: No
    Documented Diagnosis: No

<< Return | Back to top