Western Health Advantage

Tykerb (lapatinib)

Drugs for Cancer : Drugs for Cancer

Quantity Limit: 1 tablet per 30 day(s).
Prior Authorization: Urea Cycle Disorder:
Documented Diagnosis: Yes
Duration: 1 year(s)
Quantity Limit: Limit 1 inhaler per month;QL(0.14gm daily)
Prior Authorization: PA_APPLIES