Sutter Health Plus
droxidopa (droxidopa)
Drugs for the Heart : Drugs for Serious Allergic Reaction
  • Quantity Limit: 200 needles per 30 day(s).
  • Diabetic Medical Supplies:
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Quantity Limit: limit maximum 0.60 EA PER 1 day(s)
  • Quantity Limit: Limit 3 pens per month; QL(0.15ml daily)