| Anthem Blue Cross (HMO, PPO, EPO) |
| Reclast (zoledronic acid-mannitol-water) |
| Hormones : Drugs for Menopause and Bone Loss |
- PA_APPLIES
- ST Required
- Prior Authorization: Diabetic Medical Supplies:
Duration: 1 year(s)
- Quantity Limit: 5 tablets per 28 day(s).
|