Tier: 1
Prior Authorization: 0
Step Therapy:
Category: ANALGESICS – ANTI-INFLAMMATORY
Sub Category: NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)
NDC:
Tier: 1
Tier: 1
Prior Authorization: 0
Step Therapy:
Category: ANALGESICS – ANTI-INFLAMMATORY
Sub Category: NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)
NDC:
Tier: 1
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