| Sharp Health Plan - All plan years |
| Zyclara Pump (imiquimod) |
| Drugs for the Skin : Drugs for the Skin |
- Prior Authorization: Hemophilia A (Factor VIII):
Duration: 1 year(s)
- Quantity Limit: 1 bottle per 30 day(s).
- Step Therapy: Atopic Dermatitis (Eczema):
ST Multiple Generics
Eosinophilic Esophagitis (EoE):
ST Single Generic
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