Sutter Health Plus
Fora D40/G31 Blood Glucose (blood sugar diagnostic)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • ST_APPLIES
  • Prior Authorization: PA_APPLIES
  • Quantity Limit: limit maximum 200 EA PER 30 day(s)
  • PA_APPLIES
  • Step Therapy: ST_APPLIES
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