Anthem Blue Cross (HMO, PPO, EPO)
Fiasp (insulin aspart (niacinamide))
Hormones : Drugs for Diabetes
  • PA Required
  • Prior Authorization: EDS due to OSA, Narcolepsy Type 1, Narcolepsy Type 2:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Neurology: Narcolepsy:
    PA Applies
  • Prior Authorization: Rheumatoid Arthritis (RA):
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • PA_APPLIES
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