| Anthem Blue Cross (HMO, PPO, EPO) |
| Torisel (temsirolimus) |
| Drugs for Cancer : Drugs for Cancer |
- Step Therapy: Diabetic Medical Supplies:
ST Multiple Brands
- Preventive health - zero copay may apply.
- Prior Authorization: Amyotrophic Lateral Sclerosis (ALS):
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
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