| Strength: | 6&0.25cm (L) |
Medication Description
Active Injection BM KIT 6 & 0.25 MG/ML-% INJECTION
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
| Strength: | 6&0.25cm (L) |
Active Injection BM KIT 6 & 0.25 MG/ML-% INJECTION
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |