Sharp Health Plan
Kalydeco (
ivacaftor
)
Drugs for the Lungs : Drugs for Cystic Fibrosis
Prior Authorization Required
Carton consists of 56 tablets or packet consists of 60 tablets
Quantity Limit: limit maximum 60 EA PER 30 day(s) limit maximum 56 EA PER 28 day(s)
<< Return
|
Back to top