Anthem Blue Cross (HMO, PPO, EPO)
Livmarli (maralixibat)
Drugs for the Liver : Drugs for the Liver
  • Step Therapy Applies
  • Prior Authorization: Cholestatic Liver Disease:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)

  • Cholestatic Liver Disease:
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

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