Anthem Blue Cross (HMO, PPO, EPO)
Droplet Insulin Syringe (insulin syringe-needle U-100)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Prior Authorization: Ankylosing Spondylitis (AS), Psoriasis (PsO), Psoriatic Arthritis (PsA), Rheumatoid Arthritis (RA):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 1 year(s)
    Reauthorization Required: Yes

    Crohn's Disease (CD), Ulcerative Colitis (UC):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 6
    Duration: 1 year(s)
    Reauthorization Required: Yes

    Uveitis:
    Documented Diagnosis: Yes
    Duration: 1 year(s)
    Reauthorization Required: Yes

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