UnitedHealthcare
Lumakras (sotorasib)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: NSCLC-KRAS:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Quantity Limit: limit maximum 8 EA PER 1 day(s)
  • NSCLC-KRAS:
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)