| Sharp Health Plan |
| Dexilant (dexlansoprazole) |
| Drugs for the Stomach : Drugs for Ulcers and Stomach Acid |
- Quantity Limit: 30 day supply per 1 fill(s).
- Diabetic Medical Supplies:
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
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