Anthem Blue Cross (HMO, PPO, EPO)
diflorasone (diflorasone)
Drugs for the Skin : Drugs for the Skin
  • Quantity Limit: limit maximum 3 EA PER fill retail
  • Prior Authorization: Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

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