Anthem Blue Cross (HMO, PPO, EPO)
Estrogel (estradiol)
Hormones : Drugs for Women
  • Quantity Limit: limit maximum 3 EA PER fill retail
  • Ulcerative Colitis (UC):
    Duration: 12 week(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 24 month(s)
    TB Test required: No