| Sutter Health Plus |
| Bydureon BCise (exenatide microspheres) |
| Hormones : Drugs for Diabetes |
- Quantity Limit: limit maximum 8 EA PER 1 day(s)
- Quantity Limit: 1 capsule per 1 day(s).
- Quantity Limit: limit maximum 91 day(s) supply limit maximum 1 EA PER 1 day(s)
- PA Applies
- PA_APPLIES
- Step Therapy: ST_APPLIES
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