Sutter Health Plus
TargaDOX (doxycycline hyclate)
Drugs for Infections : Antibiotics
  • Prior Authorization: COPD (oral):
    Duration: 1 year(s)
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    COPD associated with chronic bronchitis: No
    History of COPD exacerbation: No
    Documented Diagnosis: No

  • PA Required
  • PA Required
  • ST_APPLIES
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