| Anthem Blue Cross (HMO, PPO, EPO) |
| Rydapt (midostaurin) |
| Drugs for Cancer : Drugs for Cancer |
- Quantity Limit: 1 patch per 1 day(s).
- Quantity Limit: limit maximum 3 EA PER 1 day(s)
- Step Therapy: Post-herpetic Neuralgia:
ST Multiple Generics
- ST_APPLIES
- May be covered under Medical Benefit.
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