| Anthem Blue Cross (HMO, PPO, EPO) |
| Edluar (zolpidem) |
| Drugs for the Nervous System : Drugs for Insomnia |
- Quantity Limit: 1 tablet per 1 day(s).
- Step Therapy: Insomnia:
ST Multiple Generics
- Insomnia:
Duration: 1 year(s)
- Prior Authorization: Insomnia:
Duration: 1 year(s)
|