Anthem Blue Cross (HMO, PPO, EPO)
Xeloda (
capecitabine
)
Drugs for Cancer : Drugs for Cancer
PA Applies
Quantity Limit: limit maximum 18 EA PER 30 day(s)
Quantity Limit: 2 capsules per 1 day(s).
PA_APPLIES
Must use AcariaHlth Sp Rx
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