- Cholangiocarcinoma:
Age Requirement: >= 18
Duration: 6 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: Yes
Specialist Type(s): Oncologist
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Step Therapy: ST Multiple Generics
- Quantity Limit: 4 tablets per 1 day(s).
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