| Anthem Blue Cross (HMO, PPO, EPO) |
| Acanya (clindamycin-benzoyl peroxide) |
| Drugs for the Skin : Drugs for the Skin |
- Quantity Limit: limit maximum 3 EA PER fill retail
- Prior Authorization: Neurogenic Detrusor Overactivity (NDO):
Documented Diagnosis: Yes
Age Requirement: >= 2
Duration: 1 year(s)
|