Anthem Blue Cross (HMO, PPO, EPO)
Dana Diabecare R (Subcutaneous Insulin Pump)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Step Therapy Applies
  • Diabetic Medical Supplies:
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Prior Authorization: Diabetic Medical Supplies:
    Duration: 1 year(s)