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
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