- Quantity Limit: limit maximum 3 EA PER fill retail
- ST_APPLIES
- Metastatic Castrate-Sensitive Prostate Cancer (mCSPC):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Specialty Pharmacy Provider(s): Accredo Health Group, Inc.
Reauthorization Required: No
Duration of Reauthorization: N/A
Metastatic Prostate Cancer: Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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