Health Net
Yescarta (axicabtagene ciloleucel)
Drugs for Cancer : Drugs for Cancer
  • Follicular Lymphoma (FL):
    Age Requirement: >= 18
    Duration: 3 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Hematologist;Oncologist
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Prior Authorization: Follicular Lymphoma (FL):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 3 Month(s)

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