| Anthem Blue Cross (HMO, PPO, EPO) |
| Nilandron (nilutamide) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: limit maximum 3 EA PER fill retail
- Prior Authorization: Derm: Acne Vulgaris:
Documented Diagnosis: Yes
Duration: 1 year(s)
- Prior Authorization: Breast Cancer: HR+ (HER2-):
Age Requirement: >= 18
Duration: 12 Month(s)
|