| Anthem Blue Cross (HMO, PPO, EPO) |
| Besremi (ropeginterferon alfa-2b-njft) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: 30 day supply per 1 fill(s).
- Quantity Limit: limit maximum 90 EA PER 365 day(s)
- PA Required
- May be covered under Medical Benefit.
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