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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