| Anthem Blue Cross (HMO, PPO, EPO) |
| dutasteride (dutasteride) |
| Drugs for the Urinary System : Drugs for the Prostate |
- Quantity Limit: limit maximum 3 EA PER fill retail
- Prior Authorization: Oncology: Carcinoid Syndrome:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
|