| Health Net |
| Doryx 100 Mg Cpdr (doxycycline hyclate) |
| Drugs for Infections : Antibiotics |
- Quantity Limit: 30 day supply per 1 fill(s).
- Prior Authorization: Neurogenic Orthostatic Hypotension:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 3 Month(s)
Reauthorization Required: Yes
- OAC;
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