Anthem Blue Cross (HMO, PPO, EPO) |
Gelnique Pump (oxybutynin) |
Drugs for the Urinary System : Drugs for the Bladder |
- Overactive Bladder:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Overactive Bladder:
ST Multiple Generics
- Quantity Limit: 1 sachet per 1 day(s).
- Prior Authorization: Overactive Bladder:
Documented Diagnosis: Yes
Duration: 1 year(s)
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