Sutter Health Plus
Tarceva (
erlotinib
)
Drugs for Cancer : Drugs for Cancer
Quantity Limit: 1 bottle per 30 day(s).
PA_APPLIES
Quantity Limit: 1 insert per day
Prior Authorization: Chronic Lymphocytic Leukemia:
Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
<< Return
|
Back to top