| Anthem Blue Cross (HMO, PPO, EPO) |
| Brilinta (ticagrelor) |
| Drugs for the Blood : Drugs for the Blood |
- Step Therapy: Reduction of CV events in CAD/PAD:
ST Multiple Generics
- Quantity Limit: 2 tablets per 1 day(s).
- Prior Authorization: Reduction of CV events in CAD/PAD:
Duration: 1 year(s)
- Reduction of CV events in CAD/PAD:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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