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
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