| Anthem Blue Cross (HMO, PPO, EPO) |
| Velcade (bortezomib) |
| Drugs for Cancer : Drugs for Cancer |
- Step Therapy: ST Required
- Prior Authorization: PA Required
- ADHD:
Age Requirement: >= 6
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- May be covered under Medical Benefit.
|