Sutter Health Plus
Orgovyx (relugolix)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: Documented Diagnosis: Yes
    Duration: 1 year(s)

  • PA Required
  • Quantity Limit: limit maximum 4 EA PER 1 day(s)
  • Quantity Limit: limit maximum 1,920 ML PER 30 day(s)