Anthem Blue Cross (HMO, PPO, EPO)
Zemdri (plazomicin)
Drugs for the Urinary System : Drugs for Infections
  • Prior Authorization: Complicated Urinary Tract Infections (cUTI):
    Duration: 1 year(s)

  • Step Therapy: Complicated Urinary Tract Infections (cUTI):
    ST Single Generic

  • Complicated Urinary Tract Infections (cUTI):
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

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