Anthem Blue Cross (HMO, PPO, EPO) |
Endometrin (progesterone micronized) |
Hormones : Drugs for Women |
- Quantity Limit: 1 60g bottle per month
- Quantity Limit: 4 tablets per 1 day(s).
- Quantity Limit: limit maximum 4 EA PER 30 day(s)
- Diabetic Medical Supplies:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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