| Anthem Blue Cross (HMO, PPO, EPO) |
| Viibryd 10 Mg (7)-20 Mg (7)-40 Mg (16) DsPk (vilazodone) |
| Drugs for the Nervous System : Drugs for Depression |
- Prior Authorization: Anxiety:
Duration: 1 year(s)
- Anxiety:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Major Depressive Disorder:
Duration: 12 Month(s)
Medical Test Required: No
Reauthorization Required: No
Documented Diagnosis: No
- Step Therapy: Anxiety:
ST Multiple Generics
|