| Sutter Health Plus |
| Xigduo XR (dapagliflozin-metformin) |
| Hormones : Drugs for Diabetes |
- May be covered under Medical Benefit.
- PA Applies
- Diabetic Medical Supplies:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
|