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Prior authorization for Avastin is required under the Injectable Chemotherapy Prior Authorization Program for the following health plans:
The administration of Avastin will be reviewed for compliance with the NCCN Compendium recommended uses for the drug as it pertains to a treatment regimen and/or line of therapy.
Non-compliant services will not be eligible for coverage. Applicable state mandates are applied to all case reviews in addition to the terms of the member's plan coverage.