Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
Xyntha (antihemophil FVIII,B-dom del) |
Drugs for the Blood : Drugs to Prevent Bleeding |
- May be covered under Medical Benefit.
- Quantity Limit: limit maximum 30 EA PER 30 day(s)
- Prior Authorization: PA_APPLIES
- Quantity Limit: 1 tablet per 1 day(s).
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