Sutter Health Plus
Keveyis (
dichlorphenamide
)
Drugs for Muscles, Ligaments, Tendons, and Bones : Drugs for Muscles, Ligaments, Tendons, and Bones
Prior Authorization: Insomnia:
Duration: 1 year(s)
Acute Migraine:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Prior Authorization: PA_APPLIES
Prior Authorization: PA_APPLIES
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