Anthem Blue Cross (HMO, PPO, EPO)
Cialis (tadalafil)
Drugs for the Urinary System : Drugs for the Prostate
  • PA_APPLIES
  • Quantity Limit: limit maximum 15 EA PER 30 day(s)
  • Quantity Limit: 1 tablet per 1 day(s).
  • Osteoarthritis: OA of the Knee:
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Orthopedic Specialist;Rheumatologist;Sports Medicine Specialist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Elapsed Duration Since Previous Course of Therapy: 6 month(s)

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