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