| Health Net |
| Blenrep (belantamab mafodotin-blmf) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Ulcerative Colitis (UC):
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 5
Duration: 1 year(s)
Reauthorization Required: Yes
- Step Therapy: ST_APPLIES
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