Sutter Health Plus
Depakote (divalproex)
Drugs for the Nervous System : Drugs for Seizures /Personality Disorder/Nerve Pain
  • Quantity Limit: 1 package / 30 days
  • Uterine Fibroids:
    Age Requirement: >= 18
    Duration: 12 Month(s)
    Specialist Required: Yes
    Medical Test Required: Yes
    Specialist Type(s): Gynecologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    Diagnosis Requirement(s): Uterine leiomyomata
    Documented Diagnosis: Yes

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