| Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
| Kuvan (sapropterin) |
| Drugs that Alter Metabolism : Drugs that Alter Metabolism |
- May be covered under Medical Benefit.
- Diabetic Medical Supplies:
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Quantity Limit: limit maximum 6 EA PER 30 day(s)
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