- Prior Authorization: Pulmonary Arterial Hypertension:
Duration: 1 year(s)
- Zero copay may apply.
- NSCLC EGFR Mutated:
Age Requirement: >= 18
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: Yes
Specialist Type(s): Oncologist
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
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