| Cigna + Oscar |
| Kisqali Femara (400 MG Dose) (ribociclib-letrozole) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Post-herpetic Neuralgia:
Documented Diagnosis: Yes
Duration: 6 Month(s)
Reauthorization Required: Yes
- Prior Authorization: PA_APPLIES
- Quantity Limit: 2 syringes per 28 day(s).
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
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