| Western Health Advantage - All plan years |
| Kisqali Femara (400 MG Dose) (ribociclib-letrozole) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: 200 syringes per 30 day(s).
- Quantity Limit: limit maximum 60 GM PER 25 day(s)
- Quantity Limit: 4 tablets per 1 day(s).
- Quantity Limit: 8 tablets per 25 day(s).
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