Anthem Blue Cross (HMO, PPO, EPO)
Arzerra (ofatumumab)
Drugs for Cancer : Drugs for Cancer
  • PA**;
  • Quantity Limit: limit maximum 2 EA PER 1 day(s)
  • ADHD:
    Age Requirement: >= 6
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Step Therapy: Ankylosing Spondylitis (AS):
    ST Multiple Generics

    Crohn's Disease (CD), Psoriasis (PsO), Rheumatoid Arthritis (RA):
    ST Single Generic