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