Oscar
Vitrakvi (larotrectinib)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: limit maximum 3 EA PER fill retail
  • Breast Cancer: HR+ (HER2-):
    Duration: 1 year(s)

  • Prior Authorization: Multiple Sclerosis (MS):
    Documented Diagnosis: Yes
    Duration: 2 Month(s)
    Reauthorization Required: Yes

    Secondary Progressive Multiple Sclerosis:
    Documented Diagnosis: Yes
    Reauthorization Required: Yes

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