Kaiser Foundation Health Plan Northern California
Dianeal PD-2/1.5% Dextrose (periton. dialysis 4-1.5 % dext)
Drugs for the Kidneys : Drugs for the Kidneys
  • Prior Authorization: Pain Narcotic: Opioid:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 3 Month(s)
    Reauthorization Required: Yes

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