| Western Health Advantage |
| diclofenac submicronized (diclofenac submicronized) |
| Drugs for Pain and Fever : Arthritis and Pain Drugs |
- Quantity Limit: 2 units per 1 day(s).
- Diabetic Medical Supplies:
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
|