Sharp Health Plan
acetaminophen-codeine (
acetaminophen-codeine
)
Drugs for Pain and Fever : Arthritis and Pain Drugs
Step Therapy Applies
Quantity Limit: limit maximum 2,700 ML PER 30 day(s)
Subject to initial 7-day limit, if age 19 or younger, subject to initial 3-day limit
<< Return
|
Back to top