Anthem Blue Cross (HMO, PPO, EPO) |
Recarbrio (imipenem-cilastatin-relebactam) |
Drugs for Infections : Antibiotics |
- Step Therapy: Complicated Urinary Tract Infections (cUTI):
ST Single Generic
- Prior Authorization: Complicated Urinary Tract Infections (cUTI):
Duration: 1 year(s)
- Complicated Urinary Tract Infections (cUTI):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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