Western Health Advantage
Sprycel (dasatinib)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: 204 strips per 30 day(s).
  • Step Therapy: ST Applies
  • PA_APPLIES
  • Prior Authorization: Peanut Allergy:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 4
    Duration: 1 year(s)
    Reauthorization Required: Yes

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