Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
lidocaine-prilocaine (lidocaine-prilocaine)
Drugs for the Skin : Drugs for the Skin
  • Colorectal Cancer:
    Duration: 1 year(s)
    Documented Diagnosis Requirement: Explicitly Documented
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Drug Policy Based On: FDA Approved Indications
    Documented Diagnosis: Yes
    Specialty Pharmacy is Required: Not Defined

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