Sutter Health Plus
Xalkori (crizotinib)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: Melanoma (MEL):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Prior Authorization: Assisted Reproductive Technology (ART):
    Documented Diagnosis: Yes
    Duration: 6 Month(s)