Sutter Health Plus
Forteo (
teriparatide
)
Hormones : Drugs for Menopause and Bone Loss
Quantity Limit: 120 mL (60 vials) per prescription
Quantity Limit: 60 tablets per 1 fill(s).
Quantity Limit: 1 kit per 30 day(s).
Prior Authorization: Substance Abuse: Opioid Dependence:
PA Applies
Quantity Limit: 100 tablets per 365 day(s).
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