GAMMAGARD 5GM/50ML INJ, GAMMAGARD ERC 5GM/50ML INJ, GAMUNEX-C 5GM/50ML INJ
Tier: 1
Prior Authorization: Yes
Step Therapy: No
Category: IMMUNOLOGICAL AGENTS
Sub Category: IMMUNIZING AGENTS, PASSIVE
Tier: 1
Prior Authorization: Yes
Step Therapy: No
Category: IMMUNOLOGICAL AGENTS
Sub Category: IMMUNIZING AGENTS, PASSIVE
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