Anthem Blue Cross (HMO, PPO, EPO)
Drizalma Sprinkle (duloxetine)
Drugs for the Nervous System : Drugs for Depression
  • Quantity Limit: limit maximum 1 EA PER 1 day(s)
  • Quantity Limit: limit maximum 1 GM PER 1 day(s)
  • PA_APPLIES
  • Step Therapy: Ophthalmic: Allergic Conjunctivitis:
    ST Multiple Generics