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)
<< Return
|
Back to top