Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Nyamyc (nystatin)
Drugs for the Skin : Drugs for the Skin
  • Prior Authorization: Hepatocellular Carcinoma, Kidney Cancer, Malignant Pleural Mesothelioma, NSCLC Systemic Therapy, Uveal Melanoma:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

    Melanoma (MEL):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 1 year(s)

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