Anthem Blue Cross (HMO, PPO, EPO)
Zirabev (Intravenous Soln) (Bevacizumab-Awwb)
Drugs for Cancer : Drugs for Cancer
  • Diabetic Medical Supplies:
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No

  • Prior Authorization: Diabetes Type 2: DPP4 + Combo:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

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