- Prior Authorization: NSCLC cMET Mutation:
Documented Diagnosis: Yes
Duration: 12 Month(s)
- NSCLC cMET Mutation:
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Orally administered anticancer medication.
- Quantity Limit: limit maximum 2 EA PER 1 day(s)
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