Sutter Health Plus |
Synjardy XR (empagliflozin-metformin) |
Hormones : Drugs for Diabetes |
- Prior Authorization: Gaucher Disease:
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
- Step Therapy: Complicated Urinary Tract Infections (cUTI):
ST Single Generic
- PA Required
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