Zytiga
| Covered Uses: | All FDA approved indications not otherwise excluded from Part D. |
| Exclusion Criteria: | |
| Required Medical Information: | Coverage is provided in situations where the patient has been previously treated or is not a candidate for treatment with a docetaxel-containing treatment regimen. |
| Age Restrictions: | |
| Prescriber Restrictions: | |
| Coverage Duration: | 12 months |
| Other Criteria: | Coverage is provided in situations where the patient will be using this drug in combination with oral prednisone. |
Last Modified on 12/20/2012