| Anthem Blue Cross (HMO, PPO, EPO) |
| chorionic gonadotropin, human (chorionic gonadotropin, human) |
| Hormones : Drugs for Women |
- Prior Authorization: Diabetes Type 2: GLP1 + Combo:
Documented Diagnosis: Yes
Age Requirement: >= 10
Duration: 1 year(s)
Reauthorization Required: Yes
- Quantity Limit: limit maximum 6 mL PER 1 day(s)
- Insomnia:
Duration: 1 year(s)
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