Health Net
everolimus (antineoplastic) (everolimus (antineoplastic))
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: limit maximum 1 EA PER 1 day(s)
  • Anti-Cancer:Maximum $200 copayment per State Law. Anti-Cancer: Maximum $200 copayment per State Law.
  • Prior Authorization: Neuroendocrine Tumor (NET):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Neuroendocrine Tumor (NET):
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Oncologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)