Anthem Blue Cross (HMO, PPO, EPO)
Farydak (panobinostat)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: limit maximum 200 EA PER 30 day(s)
  • PA Applies
  • Prior Authorization: PA Required
  • Quantity Limit: limit maximum 2 EA PER 1 day(s)
  • PA Required
<< Return | Back to top