- Endometrial Cancer:
Duration: 6 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 6 month(s)
Solid Tumor with deficient mismatch repair (dMMR): Duration: 6 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Endometrial Cancer:
Documented Diagnosis: Yes
Duration: 6 Month(s)
Reauthorization Required: Yes
Solid Tumor with deficient mismatch repair (dMMR): Documented Diagnosis: Yes
Duration: 6 Month(s)
|