Sutter Health Plus
Maxalt-MLT (rizatriptan)
Drugs for the Nervous System : Drugs for Migraine Headaches
  • Prior Authorization: Urea Cycle Disorder:
    Duration: 1 year(s)

  • Osteoarthritis: OA of the Knee:
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Elapsed Duration Since Previous Course of Therapy: N/A

  • PA_APPLIES
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