| Western Health Advantage |
| Calquence (acalabrutinib) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: limit maximum 90 EA PER 30 day(s)
- May be covered under Medical Benefit.
- Prior Authorization: Chemo-induced Nausea and Vomiting (CINV):
Documented Diagnosis: Yes
Reauthorization Required: Yes
- Prior Authorization: PA_APPLIES
|