Kaiser Foundation Health Plan Southern California - All plan years |
Sunosi (solriamfetol) |
Drugs for the Nervous System : Drugs for Sleep Disorder |
- Prior Authorization: Low Testosterone:
PA Applies
- Prior Authorization: Diabetes Type 2: DPP4 + Combo:
Documented Diagnosis: Yes
Duration: 1 year(s)
- Prior Authorization: Pulmonary Arterial Hypertension:
Duration: 1 plan year
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