Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
imiquimod (imiquimod)
Drugs for the Skin : Drugs for the Skin
  • Assisted Reproductive Technology (ART):
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialty Pharmacy Provider(s): Accredo Health Group, Inc.
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Prior Authorization: PA_APPLIES
  • Available through Specialty Pharmacy;
  • Prior Authorization: Long-chain fatty acid oxidation disorders (LC-FAOD):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes