Western Health Advantage
Xgeva (
denosumab
)
Hormones : Drugs for Menopause and Bone Loss
Quantity Limit: limit maximum 200 EA PER 30 day(s) OR limit maximum 6.67 EA PER 1 day(s)
Step Therapy: Growth Hormone Deficiency:
ST Multiple Brands
Prior Authorization: PA Required
Quantity Limit: 1 tablet per 1 day(s).
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