| Strength: | 500cm (L) |
Medication Description
AcetaZOLAMIDE Sodium Solution Reconstituted 500 MG Injection
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
| Strength: | 500cm (L) |
AcetaZOLAMIDE Sodium Solution Reconstituted 500 MG Injection
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |