| Anthem Blue Cross (HMO, PPO, EPO) |
| Vumerity (Starter) (diroximel fumarate) |
| Drugs for the Nervous System : Drugs for Multiple Sclerosis |
- QL (1 per Rx);
- Step Therapy: ST_APPLIES
- May be covered under Medical Benefit.
- Quantity Limit: limit maximum 90 EA PER 25 day(s)
- Quantity Limit: limit maximum 120 GM PER 25 day(s)
|