Sutter Health Plus
Byetta 10 MCG Pen (exenatide)
Hormones : Drugs for Diabetes
  • PA Applies
  • Available only through Specialty Pharmacy;
    For FAX form click HERE
    Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Creating an account is free, easy and helps patients get their medications sooner. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites:
     Log in to Surescripts
     Log in to CoverMyMeds; For details on drug coverage click  HERE;
  • Preventive Drug: Zero copay.
  • Quantity Limit: limit maximum 8 EA PER 21 day(s)
  • Quantity Limit: limit maximum 18 EA PER 30 day(s)
  • Quantity Limit: 1 tablet per 1 day(s).