| Sutter Health Plus |
| RyVent (carbinoxamine maleate) |
| Drugs for the Lungs : Drugs for Allergies |
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Prior Authorization: Endometrial Cancer:
Documented Diagnosis: Yes
Duration: 1 year(s)
Solid Tumor with deficient mismatch repair (dMMR):
Duration: 1 year(s)
Reauthorization Required: Yes
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