- PA**;
- Quantity Limit: limit maximum 2 EA PER 1 day(s)
- ADHD:
Age Requirement: >= 6
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Ankylosing Spondylitis (AS):
ST Multiple Generics
Crohn's Disease (CD), Psoriasis (PsO), Rheumatoid Arthritis (RA): ST Single Generic
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