Sutter Health Plus
Xalkori (crizotinib)
Drugs for Cancer : Drugs for Cancer
  • PA_APPLIES
  • Prior Authorization: NSCLC ALK+ OR ROS1+ Disease:
    PA Applies

  • NSCLC ALK+ OR ROS1+ Disease:
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A