| Kaiser Foundation Health Plan Southern California |
| Spravato (56 MG Dose) (esketamine) |
| Drugs for the Nervous System : Drugs for Depression |
- Quantity Limit: limit maximum 15 mL PER 30 day(s)
- Quantity Limit: 200 syringes per 30 day(s).
- Quantity Limit: 60 capsules per 30 day(s).
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