Anthem Blue Cross (HMO, PPO, EPO) |
Evamist (estradiol) |
Hormones : Drugs for Women |
- Vasomotor Symptoms Associated with Menopause (VMS):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Vasomotor Symptoms Associated with Menopause (VMS):
Duration: 1 year(s)
- Step Therapy: Vasomotor Symptoms Associated with Menopause (VMS):
ST Multiple Generics
- Quantity Limit: 2 bottles per 28 day(s).
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