Sutter Health Plus
Ibrance (
palbociclib
)
Drugs for Cancer : Drugs for Cancer
Quantity Limit: 8 tablets per 1 day(s).
PA_APPLIES
Prior Authorization: Glaucoma:
Documented Diagnosis: Yes
Age Requirement: >= 17
Duration: 12 Month(s)
Reauthorization Required: Yes
Prior Authorization: PA Required
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