Sutter Health Plus
NovoLOG (insulin aspart U-100)
Hormones : Drugs for Diabetes
  • Prior Authorization: ABSSSI:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 14 Day(s)
    Reauthorization Required: Yes

  • Diffuse Large B-Cell Lymphoma:
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Available through Specialty Pharmacy;
  • Quantity Limit: limit maximum 1 EA PER 1 day(s)
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