| Anthem Blue Cross (HMO, PPO, EPO) |
| Thalomid (thalidomide) |
| Drugs for Cancer : Drugs for Cancer |
- 1;
- PA applies for members less than 30 years of age
- PA_APPLIES
- PA_APPLIES
- Hypertension (High Blood Pressure):
Age Requirement: >= 18
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
|