- Quantity Limit: 1 tablet per 1 day(s).
- Preferred agentfor Atopic Dermatitis,Psoriatic Arthritis, andRheumatoid Arthritis.Preferred agent forUlcerative Colitis
- Prior Authorization: ADHD:
Documented Diagnosis: Yes
Age Requirement: >= 3
Duration: 1 plan year
Reauthorization Required: Yes
- Step Therapy: ST Multiple Brands
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