- Orally administered anticancer medication.
- Step Therapy: Breast Cancer: HR+ (HER2-):
ST Multiple Brands
- Prior Authorization: Breast Cancer: HR+ (HER2-):
Age Requirement: <= 19
Duration: 12 Month(s)
- Quantity Limit: 1 pack (91 tablets) per 28 days
- Breast Cancer: HR+ (HER2-):
Age Requirement: <= 19
Duration: 12 Month(s)
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