| Anthem Blue Cross (HMO, PPO, EPO) |
| Bystolic (nebivolol) |
| Drugs for the Heart : Drugs for High Blood Pressure |
- Quantity Limit: 2 tablets per 1 day(s).
- Hypertension (High Blood Pressure):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Hypertension (High Blood Pressure):
Duration: 1 year(s)
- Step Therapy: Hypertension (High Blood Pressure):
ST Multiple Generics
|