Western Health Advantage
Temodar (temozolomide)
Drugs for Cancer : Drugs for Cancer
  • Neuromyelitis Optica Spectrum Disorder:
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialty Pharmacy Provider(s): Preferred Limited Distribution Network
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Step Therapy: Osteoporosis: Post Menopausal Women:
    ST Single Brand

  • Quantity Limit: limit maximum 60 GM PER 30 day(s)
  • May be covered under Medical Benefit.