Anthem Blue Cross (HMO, PPO, EPO)
Albenza (albendazole)
Drugs for Infections : Drugs for Parasites
  • Intestinal worm (helminthes) Infection:
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Step Therapy: Intestinal worm (helminthes) Infection:
    ST Multiple Brands

  • Quantity Limit: 4 tablets per 1 day(s).
  • Prior Authorization: Intestinal worm (helminthes) Infection:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

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