Sutter Health Plus |
Diprolene (betamethasone, augmented) |
Drugs for the Skin : Drugs for the Skin |
- Derm: Acne Vulgaris:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Limited to non-cosmetic use: No
- Prior Authorization: PA Required
- Prior Authorization: PA_APPLIES
- Quantity Limit: 4 tablets per 1 day(s).
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