Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Xiaflex (
collagenase clostridium histo.
)
Drugs for Muscles, Ligaments, Tendons, and Bones : Drugs for Muscles, Ligaments, Tendons, and Bones
Quantity Limit: limit maximum 1 EA PER 1 day(s)
Prior Authorization: PA Required
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