Sharp Health Plan - All plan years |
Sernivo (betamethasone dipropionate) |
Drugs for the Skin : Drugs for the Skin |
- Prior Authorization: Breast Cancer: PIK3CA:
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 1 year(s)
- Quantity Limit: limit maximum 60 EA PER 30 day(s)
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