Western Health Advantage - All plan years
Kisqali Femara(200 MG Dose) (ribociclib-letrozole)
Drugs for Cancer : Drugs for Cancer
  • Step Therapy: ST_APPLIES
  • Quantity Limit: limit maximum 30 EA PER 30 day(s)
  • Prior Authorization: Diabetic Medical Supplies:
    Duration: 1 year(s)

  • Prior Authorization: PA Required