| Kaiser Foundation Health Plan Northern California |
| drospirenone-ethinyl estradiol (drospirenone-ethinyl estradiol) |
| Drugs for Women : Birth Control Pills |
- Prior Authorization: Peanut Allergy:
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 4
Duration: 6 Month(s)
Reauthorization Required: Yes
|