- Prior Authorization: Diabetes Type 2: Short Acting Insulin (Meal-time):
Documented Diagnosis: Yes
- Diabetes Type 2: Short Acting Insulin (Meal-time):
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Diabetes Type 2: Short Acting Insulin (Meal-time):
ST Single Brand
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