| Anthem Blue Cross (HMO, PPO, EPO) |
| Tecentriq (atezolizumab) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: PA_APPLIES
- Prior Authorization: Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
- Prior Authorization: PA Required
- Prior Authorization: PA_APPLIES
|