UnitedHealthcare

Fotivda (tivozanib)

Drugs for Cancer : Drugs for Cancer

Quantity Limit: 1 tablet per 1 day(s).
Available through Specialty Pharmacy;
Quantity Limit: 6 tablets per 1 day(s).
Prior Authorization: Ovarian Cancer:
Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes