| Anthem Blue Cross (HMO, PPO, EPO) |
| Lupaneta Pack (leuprolide (3month)-norethind) |
| Hormones : Drugs for Women |
- Cutaneous T-Cell Lymphomas:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- May be covered under Medical Benefit.
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