Anthem Blue Cross (HMO, PPO, EPO) |
Endari (glutamine (sickle cell)) |
Drugs for the Stomach : Drugs for the Stomach |
- Sickle Cell Disease:
Age Requirement: >= 5
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Sickle Cell Disease:
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 5
Duration: 1 year(s)
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