| Anthem Blue Cross (HMO, PPO, EPO) |
| doxepin (doxepin) |
| Drugs for the Skin : Drugs for the Skin |
- Quantity Limit: limit maximum 3 EA PER fill retail
- Prior Authorization: Multiple Myeloma:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
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