Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
amphetamine sulfate (amphetamine sulfate) |
Drugs for the Nervous System : Drugs for Sleep Disorder |
- ST_APPLIES
- Urea Cycle Disorder:
Duration: 6 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: Yes
Specialist Type(s): Physician experienced in treating metabolic disorder
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
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