Sutter Health Plus
Pemazyre (pemigatinib)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: 200 syringes per 30 day(s).
  • Prior Authorization: Derm: Acne Vulgaris:
    Duration: 1 year(s)

  • Quantity Limit: 50 grams per 30 day(s).
  • Prior Authorization: PA_APPLIES
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