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Afinitor Disperz tablets for oral suspension (brand) — Medica

any indication meeting the standard Oncology – Everolimus Products Prior Authorization Policy criteria

Preferred products

  • generic everolimus tablets for oral suspension

Initial criteria

  • Patient meets the standard Oncology – Everolimus Products Prior Authorization Policy criteria
  • Patient has tried one Preferred Product or is directed to use a Preferred Product prior to approval of a Non-Preferred Product

Approval duration

1 year