| Cigna + Oscar |
| Bydureon BCise (exenatide microspheres) |
| Hormones : Drugs for Diabetes |
- Prior Authorization: Antiviral: Hepatitis C (HCV):
Documented Diagnosis: Yes
Duration: 1 year(s)
- Quantity Limit: limit maximum 30 day(s) supply
- Step Therapy: Intestinal worm (helminthes) Infection:
ST Multiple Brands
|