Anthem Blue Cross (HMO, PPO, EPO)
NovoLOG FlexPen ReliOn (insulin aspart U-100)
Hormones : Drugs for Diabetes
  • Quantity Limit: limit maximum 3 EA PER fill retail
  • Prior Authorization: ADHD:
    Documented Diagnosis: Yes
    Age Requirement: >= 4
    Duration: 1 year(s)