Anthem Blue Cross (HMO, PPO, EPO)
Zynlonta (loncastuximab tesirine-lpyl)
Drugs for Cancer : Drugs for Cancer
  • Step Therapy: Diabetic Medical Supplies:
    ST Multiple Brands

  • Quantity Limit: 30 day supply per 1 fill(s).
  • Quantity Limit: limit maximum 4 EA PER 1 day(s)
  • Prior Authorization: PA_APPLIES