Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Xhance (fluticasone propionate)
Drugs for the Nose : Allergy
  • Prior Authorization: NSCLC EGFR Mutated:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Step Therapy: Neurology: Epilepsy:
    ST Single Generic

  • Step Therapy: Acromegaly:
    ST Single Generic

  • ST_APPLIES