| Anthem Blue Cross (HMO, PPO, EPO) |
| Imfinzi (durvalumab) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Rheumatoid Arthritis (RA):
Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
- Prior Authorization: PA Required
- May be covered under Medical Benefit.
- PA_APPLIES
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