Anthem Blue Cross (HMO, PPO, EPO) |
Gelnique 28 Mg/0.92 Gram (3 %) Glpm (oxybutynin) |
Drugs for the Urinary System : Drugs for the Bladder |
- Prior Authorization: Overactive Bladder:
Documented Diagnosis: Yes
Duration: 1 year(s)
- Step Therapy: Overactive Bladder:
ST Multiple Generics
- Overactive Bladder:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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