| Anthem Blue Cross (HMO, PPO, EPO) |
| Descovy (emtricitabine-tenofovir alafen) |
| Drugs for Infections : Drugs for Viral Infections |
- Prior Authorization: Hepatocellular Carcinoma:
Documented Diagnosis: Yes
Duration: 12 Month(s)
Kidney Cancer:
Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
Thyroid Carcinoma:
Duration: 12 Month(s)
|