| Health Net |
| Mvasi (Intravenous Soln) (Bevacizumab-Awwb) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: HIV Lipodystrophy:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
- Prior Authorization: PA_APPLIES
|