Cigna + Oscar
Rydapt (midostaurin)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: 4 tablets per 1 day(s).
  • QL (30 per Rx);
  • Pain Narcotic: Opioid:
    Duration: 1 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Used for Cancer Patients: No
    Around-The-Clock Analgesic Required: No
    Morphine Equivalent Dose (MED) Limit: <= 90 mg/day
    Morphine Equivalent Dose (MED) Required: Yes

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