Anthem Blue Cross (HMO, PPO, EPO) |
Busulfex (busulfan) |
Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: limit maximum 3 EA PER fill retail
- Paroxysmal Nocturnal Hemoglobinuria:
Duration: 6 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
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