Anthem Blue Cross (HMO, PPO, EPO)
iGlucose Test Strips (blood sugar diagnostic)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Quantity Limit: 204 strips per 30 day(s).
  • Prior Authorization: Diabetes Type 2: Test Strips:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Step Therapy: Diabetes Type 2: Test Strips:
    ST Multiple Brands

  • Diabetes Type 2: Test Strips:
    Duration: 1 year(s)
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Documented Diagnosis: Yes

<< Return | Back to top