Anthem Blue Cross (HMO, PPO, EPO)
Viibryd (vilazodone)
Drugs for the Nervous System : Drugs for Depression
  • Prior Authorization: Diabetic Medical Supplies:
    Documented Diagnosis: Yes
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Quantity Limit: 30 day supply per 1 fill(s).
  • Available through Specialty Pharmacy;
  • Preventive Drug: $0 copay.