Western Health Advantage
Zejula (niraparib)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: 30 day supply per 1 fill(s).
  • Ovarian Cancer:
    Duration: 1 year(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Oncologist
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Drug Policy Based On: Payer Specific
    Diagnosis Types: 4 of As monotherapy;epithelial ovarian, fallopian tube, or primary peritoneal cancer;maintenance treatment after a complete or partial response to platinum-based chemotherapy;Recurrent disease;Treated with at least 2 prior lines of platinum based chemotherapy

  • Prior Authorization: Ovarian Cancer:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Available through Specialty Pharmacy;