| Anthem Blue Cross (HMO, PPO, EPO) |
| pioglitazone (pioglitazone) |
| Hormones : Drugs for Diabetes |
- Quantity Limit: limit maximum 200 EA PER 30 day(s)
- ST_APPLIES
- Prior Authorization: Diabetic Medical Supplies:
Duration: 1 year(s)
- Quantity Limit: 1000 grams per 30 day(s).
|