Sutter Health Plus |
Avidoxy DK (doxycycline-salicy-octin-Zn ox) |
Drugs for Infections : Antibiotics |
- Quantity Limit: limit maximum 3 ML PER 30 day(s)
- Prior Authorization: PA Required
- Zero Copay;
- Prior Authorization: NSAIDs for Arthritis:
Documented Diagnosis: Yes
Duration: 1 year(s)
|