Afinitor tablets (brand) — Medica
any indication meeting the standard Oncology – Everolimus Products Prior Authorization Policy criteria
Preferred products
- generic everolimus tablets
- Torpenz
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