Anthem Blue Cross (HMO, PPO, EPO) |
Siklos (hydroxyurea (sickle cell)) |
Drugs for the Blood : Drugs for the Blood |
- Sickle Cell Disease:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Sickle Cell Disease:
Documented Diagnosis: Yes
Duration: 1 year(s)
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