| Anthem Blue Cross (HMO, PPO, EPO) |
| Pexeva (paroxetine mesylate) |
| Drugs for the Nervous System : Drugs for Depression |
- Step Therapy: Anxiety:
ST Multiple Generics
- Anxiety:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Quantity Limit: 2 tablets per 1 day(s).
- Prior Authorization: Anxiety:
Duration: 1 year(s)
|