Anthem Blue Cross (HMO, PPO, EPO)
Lumakras (sotorasib)
Drugs for Cancer : Drugs for Cancer
  • May be covered under Medical Benefit.
  • Prior Authorization: Spinal Muscular Atrophy (SMA):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • PA Required
  • Prior Authorization: Sickle Cell Disease:
    Documented Diagnosis: Yes
    Age Requirement: >= 5
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Quantity Limit: limit maximum 30 ML PER 30 day(s)