Anthem Blue Cross (HMO, PPO, EPO)
Jynarque (tolvaptan (polycys kidney dis))
Drugs for the Urinary System : Drugs for the Urinary System
  • Quantity Limit: 1 carton per 28 day(s).
  • Prior Authorization: Autosomal Dominant Polycystic Kidney Disease:
    Age Requirement: >= 18
    Duration: 1 year(s)

  • Autosomal Dominant Polycystic Kidney Disease:
    Age Requirement: >= 18
    Duration: 1 year(s)

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