- NSCLC Systemic Therapy:
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Oncologist
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: NSCLC Systemic Therapy:
Documented Diagnosis: Yes
Duration: 12 Month(s)
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