- Quantity Limit: 1 capsule per 1 day(s).
- Endometrial Cancer:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Solid Tumor with deficient mismatch repair (dMMR): Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: Unspecified
- 1;
- ST_APPLIES
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