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
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