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