| Sutter Health Plus |
| Slynd (drospirenone (contraceptive)) |
| Drugs for Women : Birth Control Pills |
- Limited Access. Must use AcariaHealth Specialty Rx. Anti-Cancer:Maximum $200 copayment per State Law.
- Quantity Limit: 12 tablets per 1 day(s).
- Quantity Limit: limit maximum 200 EA PER 30 day(s)
- Prior Authorization: PA_APPLIES
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