Western Health Advantage
Koselugo (selumetinib-vitamin E TPGS)
Drugs for Cancer : Drugs for Cancer
  • Chorea in Huntington's Disease:
    Duration: 3 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Neurologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Step Therapy: Graft Versus Host Disease (GVHD):
    ST Single Generic

  • Available only through Specialty Pharmacy;
  • Quantity Limit: limit maximum 60 GM PER 23 day(s)