| Sharp Health Plan - All plan years |
| QuilliChew ER (methylphenidate HCl) |
| Drugs for the Nervous System : Drugs for Attention Deficit Disorder |
- Prior Authorization: PA_APPLIES
- PA Applies
- Prior Authorization: Acute Migraine:
Documented Diagnosis: Yes
Duration: 1 year(s)
Migraine:
Duration: 1 year(s)
|