Anthem Blue Cross (HMO, PPO, EPO)
Trintellix (vortioxetine)
Drugs for the Nervous System : Drugs for Depression
  • Quantity Limit: limit maximum 3 EA PER fill retail
  • Prior Authorization: Hemophilia A (Factor VIII):
    Documented Diagnosis: Yes
    Duration: 3 Month(s)
    Reauthorization Required: Yes