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
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