Anthem Blue Cross (HMO, PPO, EPO)
Vabysmo (faricimab-svoa)
Drugs for Cancer : Drugs for Cancer
  • Quantity Limit: limit maximum 3 EA PER fill retail
  • Prior Authorization: Diabetes Type 2: Short Acting Insulin (Meal-time):
    Documented Diagnosis: Yes
    Duration: 1 year(s)