| Anthem Blue Cross (HMO, PPO, EPO) |
| Lenvima (14 MG Daily Dose) (lenvatinib) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: 0.05 units per 1 day(s).
- Prior Authorization: PA Required
- Step Therapy: ST_APPLIES
- Quantity Limit: 204 lancets per 30 day(s).
- Quantity Limit: 8 tablets per 1 day(s).
- ST Applies
|