UnitedHealthcare - 2014 to Present |
Kisqali (200 MG Dose) (ribociclib) |
Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: 45g per month
- PA Required
- Prior Authorization: PA_APPLIES
- May be covered under Medical Benefit.
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
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