will apply to all services performed on or after the above revision date which
will become the new effective date.
services referred to in this policy that were performed before the revision
date, contact customer service for the rules that would apply.
angiotensin receptor blockers (ARBs) are subject to step therapy.
include Edarbi, and Edarbyclor.
Pre-requisite ARBs include candesartan, irbesartan, losartan, olmesartan,
valsartan, telmisartan, and all combination products containing these ARBs.