Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Xiidra (
lifitegrast
)
Drugs for the Eye : Anti-Infective/Anti-Inflammatories
Quantity Limit: limit maximum 1 EA PER 1 day(s)
Step Therapy: ST_APPLIES
Quantity Limit: limit maximum 1 EA PER 1 day(s)
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