Anthem Blue Cross (HMO, PPO, EPO) |
Fiasp (insulin aspart (niacinamide)) |
Hormones : Drugs for Diabetes |
- Diabetes Type 2: Short Acting Insulin (Meal-time):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Quantity Limit: limit maximum 30 mL PER 30 day(s)
- Step Therapy: Diabetes Type 2: Short Acting Insulin (Meal-time):
ST Multiple Generics
- Prior Authorization: Diabetes Type 2: Short Acting Insulin (Meal-time):
Documented Diagnosis: Yes
Duration: 1 year(s)
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