Anthem Blue Cross (HMO, PPO, EPO)
Vectibix (panitumumab)
Drugs for Cancer : Drugs for Cancer
  • Colorectal Cancer:
    Duration: 1 year(s)
    Documented Diagnosis Requirement: Inferred from Available Documentation
    Medical Test Required: Yes
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Drug Policy Based On: NCCN Guidelines
    Documented Diagnosis: Yes
    Specialty Pharmacy is Required: Not Defined

  • PA Applies
  • Available only through Specialty Pharmacy;
    For FAX form click HERE
    Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Creating an account is free, easy and helps patients get their medications sooner. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites:
     Log in to Surescripts
     Log in to CoverMyMeds; For details on drug coverage click  HERE;
  • Prior Authorization: Colorectal Cancer:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 1 year(s)