Health Net
Zydelig (idelalisib)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: PA_APPLIES
  • Prior Authorization: Endometriosis:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Metastatic Prostate Cancer, Non-Metastatic Prostate Cancer, Uterine Fibroids:
    Documented Diagnosis: Yes

  • 1;
  • Step Therapy: ST Multiple Generics

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