| Sutter Health Plus |
| Austedo (deutetrabenazine) |
| Drugs for the Nervous System : Drugs for the Nervous System |
- Quantity Limit: 6 tablets per 1 day(s).
- Quantity Limit: 204 strips per 30 day(s).
- Quantity Limit: limit maximum 1 ML PER 23 day(s)
- Quantity Limit: 7.7 mL (1 bottle) per month
- Preventive Drug: Zero copay.
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