UnitedHealthcare
Keytruda (Solr) (pembrolizumab)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: Endometrial Cancer, NSCLC Systemic Therapy:
    Documented Diagnosis: Yes

    Gastric Cancer:
    Duration: 12 Month(s)

  • Endometrial Cancer:
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Oncologist
    Specialty Pharmacy Provider(s): BriovaRx
    Reauthorization Required: No
    Duration of Reauthorization: N/A

    Gastric Cancer:
    Duration: 12 Month(s)
    Specialist Required: Yes

    NSCLC Systemic Therapy:
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Oncologist
    Reauthorization Required: No
    Duration of Reauthorization: N/A

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