Anthem Blue Cross (HMO, PPO, EPO)
Emverm (mebendazole)
Drugs for Infections : Drugs for Parasites
  • Step Therapy: Intestinal worm (helminthes) Infection:
    ST Multiple Brands

  • Prior Authorization: Intestinal worm (helminthes) Infection:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Intestinal worm (helminthes) Infection:
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

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