| Anthem Blue Cross (HMO, PPO, EPO) |
| Gazyva (obinutuzumab) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: Colorectal Cancer:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
- Step Therapy: ST_APPLIES
- Preventive Drug: Zero copay.
- Quantity Limit: 60 tablets per 1 fill(s).
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