Sharp Health Plan - All plan years
Kristalose (lactulose)
Drugs for the Stomach : Drugs to Prevent Constipation
  • Step Therapy: Migraine Prevention:
    ST Multiple Generics

  • PA Required
  • Derm: Acne Vulgaris:
    Age Requirement: >= 12
    Duration: 12 week(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: <= 12 week(s)
    Limited to non-cosmetic use: No

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