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).