| Sutter Health Plus |
| Skyrizi (150 MG Dose) (risankizumab-rzaa) |
| Drugs for the Skin : Drugs for the Skin |
- Prior Authorization: Diabetic Medical Supplies:
Documented Diagnosis: Yes
Duration: 1 plan year
Reauthorization Required: Yes
- Quantity Limit: 1 capsule per 1 day(s).
- PA_APPLIES
- QL (60 per Rx);
- PA Required
|