UnitedHealthcare - 2014 to Present |
Absorica LD (isotretinoin, micronized) |
Drugs for the Skin : Drugs for the Skin |
- ST_APPLIES
- Quantity Limit: 30 day supply per 1 fill(s).
- Prior Authorization: Endometriosis:
Documented Diagnosis: Yes
Duration: 6 Month(s)
Reauthorization Required: Yes
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