Sutter Health Plus
diclofenac epolamine (diclofenac epolamine)
Drugs for the Skin : Drugs for the Skin
  • Quantity Limit: 0.05 units per 1 day(s).
  • Multiple Sclerosis (MS):
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Patients Cardiac Medical History Required: No
    Concomitant use of other MS medication: No

  • PA_APPLIES
  • Quantity Limit: 1 vial per 1 day(s).
  • ST Required
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