Health Net
Folotyn (pralatrexate)
Drugs for Cancer : Drugs for Cancer
  • Cutaneous T-Cell Lymphomas:
    Age Requirement: >= 18
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Hematologist;Oncologist
    Reauthorization Required: Yes
    Duration of Reauthorization: Unspecified

  • Prior Authorization: Cutaneous T-Cell Lymphomas:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Reauthorization Required: Yes

<< Return | Back to top