| Sutter Health Plus |
| KLS Quit4 (nicotine (polacrilex)) |
| Drugs for Addiction : Drugs for Smoking Addiction |
- Diabetic Medical Supplies:
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
|