| Anthem Blue Cross (HMO, PPO, EPO) |
| Revlimid (lenalidomide) |
| Drugs for Cancer : Drugs for Cancer |
- PA Required
- May be covered under Medical Benefit.
- May be covered under Medical Benefit.
- Quantity Limit: 91 day supply per 1 fill(s).
- Quantity Limit: 30 day supply per 1 fill(s).
|