Anthem Blue Cross (HMO, PPO, EPO) |
Zynlonta (loncastuximab tesirine-lpyl) |
Drugs for Cancer : Drugs for Cancer |
- Step Therapy: Diabetic Medical Supplies:
ST Multiple Brands
- Quantity Limit: 30 day supply per 1 fill(s).
- Quantity Limit: limit maximum 4 EA PER 1 day(s)
- Prior Authorization: PA_APPLIES
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