| Anthem Blue Cross (HMO, PPO, EPO) |
| Targretin (bexarotene) |
| Drugs for Cancer : Drugs for Cancer |
- May be covered under Medical Benefit.
- Prior Authorization: Diabetic Medical Supplies:
PA Applies
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Quantity Limit: 5 packets per 1 fill(s).
|