- Prior Authorization: Breast Cancer: HR+ (HER2-):
Duration: 12 Month(s)
Breast Cancer: HR+ (HER2+): Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
- Breast Cancer: HR+ (HER2-):
Duration: 12 Month(s)
Specialist Required: Yes
Breast Cancer: HR+ (HER2+): Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Oncologist
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
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