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)