| Health Net |
| Xpovio (80 MG Once Weekly) (selinexor) |
| Drugs for Cancer : Drugs for Cancer |
- PA Applies
- Diabetic Medical Supplies:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Quantity Limit: 204 strips per 30 day(s).
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