| Anthem Blue Cross (HMO, PPO, EPO) |
| Zolpimist (zolpidem) |
| Drugs for the Nervous System : Drugs for Insomnia |
- Step Therapy: Insomnia:
ST Multiple Generics
- Prior Authorization: Insomnia:
Duration: 1 year(s)
- Quantity Limit: limit maximum 0.26 mL PER 1 day(s)
- Insomnia:
Duration: 1 year(s)
|