Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
Zevalin Y-90 (kit for yttrium-90-ibritumomab) |
Drugs for Cancer : Drugs for Cancer |
- PA_APPLIES
- Neuromyelitis Optica Spectrum Disorder:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Specialty Pharmacy Provider(s): Preferred Limited Distribution Network
Reauthorization Required: No
Duration of Reauthorization: N/A
|