| Strength: | 33GX4MMcm (L) |
Medication Description
1st Tier Unifine Pentips 33G X 4 MM
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
| Strength: | 33GX4MMcm (L) |
1st Tier Unifine Pentips 33G X 4 MM
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |