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