| Anthem Blue Cross (HMO, PPO, EPO) |
| dorzolamide (dorzolamide) |
| Drugs for the Eye : Drugs for Glaucoma |
- Cytomegalovirus (CMV):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
|