| Anthem Blue Cross (HMO, PPO, EPO) |
| Cosela (trilaciclib) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Prevention of Chemotherapy-Induced Myelosuppression:
Duration: 1 year(s)
- Prevention of Chemotherapy-Induced Myelosuppression:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
|