Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Metrogel (metronidazole)
Drugs for the Skin : Drugs for the Skin
  • ST_APPLIES
  • Prior Authorization: Diabetes Type 2: GLP1 + Combo:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 year(s)
    Reauthorization Required: Yes

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