Western Health Advantage
Farydak (
panobinostat
)
Drugs for Cancer : Drugs for Cancer
Quantity Limit: limit maximum 90 EA PER 30 day(s)
Quantity Limit: limit maximum 1.50 ML PER 28 day(s)
Quantity Limit: limit maximum 1 EA PER 1 day(s)
Prior Authorization: PA_APPLIES
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