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Prescription Drug Detail

Brand Name
Brand Tier
Generic Name
Generic Tier
HUMATROPE
 
(Tier 3)
 
Not
Available
Not
Available

Prior Authorization Required: Yes
Quantity Limit: No
Category: Hormones\growth
Maintenance Drug: No
Notes: This medication requires Prior Authorization. Please have your physician call 1-866-522-2486 before prescribing this medication.
Attachments: CareFirstGHorAudv1(1.2010).pdfCareFirstGHorPedv1(1.2010).pdf

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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.

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