- Quantity Limits Apply
- Limited Access. Must use AcariaHealth Specialty Rx.
- Step Therapy: Pulmonary Arterial Hypertension:
ST Multiple Generics
- Prior Authorization: Pulmonary Arterial Hypertension:
Duration: 6 Month(s)
- Pulmonary Arterial Hypertension:
Duration: 6 Month(s)
Specialist Required: Yes
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