Tier: NC
Prior Authorization: 0
Step Therapy: 0
Category: ANTIASTHMATIC AND BRONCHODILATOR AGENTS
Sub Category: SYMPATHOMIMETICS
NDC:
Tier: NC
Tier: NC
Prior Authorization: 0
Step Therapy: 0
Category: ANTIASTHMATIC AND BRONCHODILATOR AGENTS
Sub Category: SYMPATHOMIMETICS
NDC:
Tier: NC
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