HealthNet - All plan years
Zytiga (abiraterone)
Drugs for Cancer : Drugs for Cancer
  • Anti-Cancer:Maximum $200 copayment per State Law.
  • Prior Authorization: RET-Fusion Non-Small Cell Lung Cancer:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

    RET-Fusion Thyroid Cancer, RET-Mutant MTC:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • PA Applies
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