| Anthem Blue Cross (HMO, PPO, EPO) |
| Kalbitor (ecallantide) |
| Drugs for the Heart : Drugs for the Heart |
- Hereditary Angioedema (HAE):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
History of Moderate or Severe Attacks: No
- Prior Authorization: Hereditary Angioedema (HAE):
Duration: 1 year(s)
- Step Therapy: Hereditary Angioedema (HAE):
ST Generic and Brand
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