| Anthem Blue Cross (HMO, PPO, EPO) |
| Halaven (eribulin) |
| Drugs for Cancer : Drugs for Cancer |
- Breast Cancer: HR+ (HER2+):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Chronic Kidney Disease:
ST Single Brand
- Prior Authorization: Urea Cycle Disorder:
Duration: 1 year(s)
- Diabetic Medical Supplies:
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Step Therapy: ST_APPLIES
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