| Anthem Blue Cross (HMO, PPO, EPO) |
| Verzenio (abemaciclib) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Chorea in Huntington's Disease:
Documented Diagnosis: Yes
Duration: 1 year(s)
- Step Therapy: Hemophilia A (Factor VIII):
ST Multiple Brands
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Prior Authorization: Endometrial Cancer:
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 1 year(s)
Hepatocellular Carcinoma, Kidney Cancer:
Documented Diagnosis: Yes
Duration: 1 year(s)
Thyroid Carcinoma:
Duration: 1 year(s)
|