Skip to content
The Policy VaultThe Policy Vault

Imbruvica 140 mg tablets — Medica

any FDA-approved indication(s) for Imbruvica per Oncology – Imbruvica Prior Authorization Policy

Preferred products

  • Imbruvica 140 mg capsules

Initial criteria

  • Patient meets the standard Oncology – Imbruvica Prior Authorization Policy criteria AND has tried Imbruvica 140 mg capsules

Approval duration

1 year