| Kaiser Foundation Health Plan Southern California |
| imatinib (imatinib) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: limit maximum 4 EA PER 1 day(s)
- Crohn's Disease (CD):
Age Requirement: >= 6
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: Yes
Duration of Reauthorization: Unspecified
TB Test required: Yes
|