Anthem Blue Cross (HMO, PPO, EPO) |
Albenza (albendazole) |
Drugs for Infections : Drugs for Parasites |
- Intestinal worm (helminthes) Infection:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Intestinal worm (helminthes) Infection:
ST Multiple Brands
- Quantity Limit: 4 tablets per 1 day(s).
- Prior Authorization: Intestinal worm (helminthes) Infection:
Documented Diagnosis: Yes
Duration: 1 year(s)
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