Health Net
Pemazyre (pemigatinib)
Drugs for Cancer : Drugs for Cancer
  • Step Therapy: Overactive Bladder:
    ST Multiple Generics

  • Prior Authorization: Polycythemia Vera (PV):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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