| Anthem Blue Cross (HMO, PPO, EPO) |
| Gilotrif (afatinib) |
| Drugs for Cancer : Drugs for Cancer |
- Prior Authorization: PA_APPLIES
- Acute Migraine:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Post-herpetic Neuralgia:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 1 plan year
Reauthorization Required: Yes
- Step Therapy: ST_APPLIES
- Quantity Limit: limit maximum 91 day(s) supply limit maximum 1 EA PER 1 day(s)
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