Xtra-Care≥nericName=gly-lan-methylbenzethchlor-sls∨gName=Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) ()
Drugs for the Skin⊂class=Drugs for the Skin : 
  • Prior Authorization: Anemia due to Chemotherapy:
    Documented Diagnosis: Yes
    Duration: 8 week(s)
    Reauthorization Required: Yes

    Anemia due to Chronic Kidney Disease:
    Documented Diagnosis: Yes
    Duration: 2 Month(s)
    Reauthorization Required: Yes