- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Breast Cancer: HR+ (HER2-):
Age Requirement: >= 18
Duration: 12 Month(s)
Specialist Required: Yes
- Prior Authorization: Breast Cancer: HR+ (HER2-):
Age Requirement: >= 18
Duration: 12 Month(s)
- Limited Access. Must use AcariaHealth Specialty Rx. Anti-Cancer:Maximum $200 copayment per State Law.
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