Western Health Advantage
Cotellic (cobimetinib)
Drugs for Cancer : Drugs for Cancer
  • Non Hodgkin Lymphoma (NHL):
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No

  • May be covered under Medical Benefit.
  • Quantity Limit: Limit 4 patches per month;QL(0.14 3 ea daily)
  • Quantity Limit: limit maximum 365 EA PER fill retail