Anthem Blue Cross (HMO, PPO, EPO)
Avastin (bevacizumab)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: 4 tablets per 1 day(s).
  • Quantity Limit: 1 capsule per 1 day(s).
  • Step Therapy: ST_APPLIES
  • Quantity Limit: limit maximum 45 GM PER 30 day(s) limit maximum 45 GM PER fill retail