Anthem Blue Cross (HMO, PPO, EPO) |
Nalfon (fenoprofen) |
Drugs for Pain and Fever : Arthritis and Pain Drugs |
- Split Fill;
- Quantity Limit: 4 capsules per 1 day(s).
- NSAIDs for Arthritis:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: NSAIDs for Arthritis:
ST Multiple Generics
- Prior Authorization: NSAIDs for Arthritis:
Documented Diagnosis: Yes
Duration: 1 year(s)
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