| Anthem Blue Cross (HMO, PPO, EPO) |
| Synarel (nafarelin) |
| Hormones : Drugs for Women |
- Pulmonary Arterial Hypertension:
Duration: 6 Month(s)
Specialist Required: Yes
- Step Therapy: ST_APPLIES
- Quantity Limit: 3 capsules per 1 day(s).
- Prior Authorization: PA_APPLIES
- Diabetes Type 2: Short Acting Insulin (Meal-time):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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