Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Qbrexza (glycopyrronium tosylate)
Drugs for the Skin : Drugs for the Skin
  • PA Applies
  • PA Applies
  • Sickle Cell Disease:
    Age Requirement: >= 5
    Duration: 1 plan year
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year