| Strength: | 31GX5MMcm (L) |
Medication Description
1st Tier Unifine Pentips Plus 31G X 5 MM
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
| Strength: | 31GX5MMcm (L) |
1st Tier Unifine Pentips Plus 31G X 5 MM
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |