Oscar
Mekinist (
trametinib
)
Drugs for Cancer : Drugs for Cancer
Quantity Limit: limit maximum 3 EA PER fill retail
Quantity Limit: limit maximum 30 day(s) supply
Prior Authorization: CIDP: Immune Globulin:
PA Applies PID: Immune Globulin:
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 1 year(s)
<< Return
|
Back to top