Anthem Blue Cross (HMO, PPO, EPO)
Savaysa (edoxaban)
Drugs for the Blood : Drugs to Prevent Blood Clots
  • Quantity Limit: 1 tablet per 1 day(s).
  • Prior Authorization: Stroke Prevention in Non-valvular Atrial Fibrillation:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Stroke Prevention in Non-valvular Atrial Fibrillation:
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Step Therapy: Stroke Prevention in Non-valvular Atrial Fibrillation:
    ST Generic and Brand

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