Anthem Blue Cross (HMO, PPO, EPO) |
Xpovio (100 MG Once Weekly) (selinexor) |
Drugs for Cancer : Drugs for Cancer |
- Step Therapy: Graft Versus Host Disease (GVHD):
ST Single Generic
- Psoriasis (PsO):
Age Requirement: >= 18
Duration: 6 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): 1 of Dermatologist;Rheumatologist
Reauthorization Required: Yes
Duration of Reauthorization: = 6 month(s)
TB Test required: No
History of Plaque Psoriasis: N/A
Overall % of Body Surface For Initiation: 3
Overall % of Body Surface For Initiation With Sensitive Areas: Unspecified
Psoriasis Classification: Unspecified
Sensitive Area BSA Percent override: Yes
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