Cigna + Oscar
Aliqopa (copanlisib)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: Narcolepsy Type 1, Narcolepsy Type 2:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Neurology: Narcolepsy:
    PA Applies
  • Step Therapy: ST_APPLIES
  • Quantity Limit: limit maximum 30 EA PER 30 day(s)