Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
Xgeva (denosumab) |
Hormones : Drugs for Menopause and Bone Loss |
- Prior Authorization: PA Applies
- Step Therapy: Thyroid Carcinoma:
ST Single Brand
- Pain Narcotic: Opioid:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Used for Cancer Patients: No
Around-The-Clock Analgesic Required: No
Morphine Equivalent Dose (MED) Limit: N/A
Morphine Equivalent Dose (MED) Required: No
- Prior Authorization: PA_APPLIES
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