Amantad-Amitrip-Gabap-Cycloben
| Strength: | 8-4-10-4cm (L) |
Medication Description
A.A.G.C. Kit in TeroDerm CREAM 8-4-10-4 % EXTERNAL
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
Amantad-Amitrip-Gabap-Cycloben
| Strength: | 8-4-10-4cm (L) |
A.A.G.C. Kit in TeroDerm CREAM 8-4-10-4 % EXTERNAL
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |