UnitedHealthcare |
Kisqali Femara (400 MG Dose) (ribociclib-letrozole) |
Drugs for Cancer : Drugs for Cancer |
- Orally administered anticancer medication.
- Breast Cancer: HR+ (HER2-):
Age Requirement: <= 19
Duration: 12 Month(s)
- Quantity Limit: 1 pack (91 tablets) per 28 days
- Prior Authorization: Breast Cancer: HR+ (HER2-):
Age Requirement: <= 19
Duration: 12 Month(s)
- Step Therapy: Breast Cancer: HR+ (HER2-):
ST Multiple Brands
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