Health Net
Yonsa (abiraterone, submicronized)
Drugs for Cancer : Drugs for Cancer
  • Maximum $200 copayment per State Law.
  • Prior Authorization: Metastatic Prostate Cancer:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Metastatic Prostate Cancer:
    Age Requirement: >= 18
    Duration: 1 plan year
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Oncologist;Urologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year

  • Step Therapy: Metastatic Prostate Cancer:
    ST Single Generic

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