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)
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