| Anthem Blue Cross (HMO, PPO, EPO) |
| Caverject (alprostadil) |
| Drugs for the Urinary System : Drugs for Erectile Dysfunction |
- Erectile Dysfunction (ED):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Erectile Dysfunction (ED):
ST Multiple Generics
- Prior Authorization: Erectile Dysfunction (ED):
Duration: 1 year(s)
|