| UnitedHealthcare |
| Lenvima (24 MG Daily Dose) (lenvatinib) |
| Drugs for Cancer : Drugs for Cancer |
- Step Therapy: ST Multiple Brands
- 1; User Field 13;
- PA_APPLIES
- Prior Authorization: Growth Hormone Deficiency:
Documented Diagnosis: Yes
Duration: 1 year(s)
Reauthorization Required: Yes
|