Anthem Blue Cross (HMO, PPO, EPO) |
Cometriq (140 MG Daily Dose) (cabozantinib) |
Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Derm: Acne Vulgaris:
PA Applies
- Prior Authorization: PA_APPLIES
- Derm: Rosacea:
Age Requirement: >= 18
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Step Therapy: ST_APPLIES
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