- Quantity Limit: 200 syringes per 30 day(s).
- Vasomotor Symptoms Associated with Menopause (VMS):
Age Requirement: >= 18
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Diabetes Type 2: DPP4 + Combo:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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