| Western Health Advantage |
| Follistim AQ (follitropin beta) |
| Hormones : Drugs for Women |
- May be covered under Medical Benefit.
- Breast Cancer: HR+ (HER2+):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: No
Duration of Reauthorization: N/A
- QL (240 per Rx);
|