| Strength: | 1&0.25cm (L) |
Medication Description
Active Injection LM-2 Kit 1 & 0.25 % Injection
Medication Features
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |
| Strength: | 1&0.25cm (L) |
Active Injection LM-2 Kit 1 & 0.25 % Injection
| Tier | Non-Formulary |
| PA Type | No Prior Authorization |
| ST | N |