| Sutter Health Plus |
| luliconazole (luliconazole) |
| Drugs for the Skin : Drugs for the Skin |
- May be covered under Medical Benefit.
- Quantity Limit: 3 tablets per 1 day(s).
- Prior Authorization: PA Applies
- Quantity Limit: limit maximum 4 ML PER 1 day(s)
- Step Therapy: Psychiatry: Schizophrenia:
ST Single Generic
|