| Anthem Blue Cross (HMO, PPO, EPO) |
| Caprelsa (vandetanib) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: 1 tablet per 1 day(s).
- Step Therapy: Antiviral: Hepatitis C (HCV):
ST Single Generic
- PA Applies
- Orally administered anticancer medication.
- Quantity Limit: limit maximum 30 mL PER 30 day(s)
- 1;
|