| Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
| pimecrolimus (pimecrolimus) |
| Drugs for the Skin : Drugs for the Skin |
- Prior Authorization: PA_APPLIES
- Orally administered anticancer medication.
- Quantity Limit: limit maximum 1.20 ML PER 23 day(s)
- Available through Specialty Pharmacy;
|