Sutter Health Plus
acyclovir (acyclovir)
Drugs for the Skin : Drugs for the Skin
  • Available through Specialty Pharmacy;
  • Prior Authorization: PA Required
  • Quantity Limit: limit maximum 300 EA PER 30 day(s)
  • ST_APPLIES
  • Quantity Limit: 30 day supply per 1 fill(s).