Formulary ID 000014177,Version 15 Last Updated 10/28/2014 PriorAuthorization Group AFINITOR DrugNames AFINITOR,AFINITORDISPERZ Covered Uses Al l FDA-approved indications nototherwise excluded from Part D, lung neuroendocrineumors(LNETs),Waldenstrom's macroglobul inemia/lymphoplasmacytic lymphoma.Exclusion...
PRESCRIPTION DRUGS If your plan covers outpatient prescription drugs, your plan may include a preferred drug list (also known as a "drug formulary"). The preferred drug list includes prescription drugs that, depending on your prescription drug benefits plan, are covered on a preferred basis. Many...