| Anthem Blue Cross (HMO, PPO, EPO) |
| Admelog SoloStar (insulin lispro) |
| Hormones : Drugs for Diabetes |
- Quantity Limit: 454 grams per 30 day(s).
- PA Applies
- This medication applies to a specific age group. Members outside of this age group need to meet specific criteria for approval.
- User Field 13;
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