Health Net
Votrient (pazopanib)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: Crohn's Disease (CD):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 1 year(s)
    Reauthorization Required: Yes

  • Quantity Limit: 2 vials per 6 day(s).
  • PA_APPLIES