- Step Therapy: Cystic Fibrosis (CF):
ST Multiple Generics
- Prior Authorization: PA Required
- Colorectal Cancer:
Duration: 1 year(s)
Documented Diagnosis Requirement: Inferred from Available Documentation
Medical Test Required: Yes
Reauthorization Required: No
Duration of Reauthorization: N/A
Drug Policy Based On: NCCN Guidelines
Documented Diagnosis: Yes
Specialty Pharmacy is Required: Not Defined
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