| Sutter Health Plus |
| Bryhali (halobetasol propionate) |
| Drugs for the Skin : Drugs for the Skin |
- Diabetic Medical Supplies:
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Quantity Limit: limit maximum 30 mL PER 30 day(s)
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