Sutter Health Plus
lidocaine-tetracaine (lidocaine-tetracaine)
Drugs for the Skin : Drugs for the Skin
  • Quantity Limit: limit maximum 1 GM PER 30 day(s)
  • PA_APPLIES
  • Step Therapy: ST_APPLIES
  • Prior Authorization: PA_APPLIES
  • ST_APPLIES
<< Return | Back to top