Sutter Health Plus
Cotellic (
cobimetinib
)
Drugs for Cancer : Drugs for Cancer
Prior Authorization: PA Required
Prior Authorization: PA_APPLIES
Prior Authorization: Acromegaly:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
Quantity Limit: limit maximum 4 ML PER 28 day(s)
<< Return
|
Back to top