| Sutter Health Plus |
| Dulera (mometasone-formoterol) |
| Drugs for the Lungs : Drugs for Asthma/COPD |
- PA_APPLIES
- QL (1 per Rx);
- ST_APPLIES
- Asthma (oral):
Unspecified PA: Yes
- Prior Authorization: Asthma (oral):
PA Applies
- Step Therapy: Asthma (oral):
ST Single Brand
|