Albuterol Sulfate HFA Aerosol Solution 108 (90 Base) MCG/ACT Inhalation

Strength: 108(90Base)cm (L)

Medication Description

Albuterol Sulfate HFA Aerosol Solution 108 (90 Base) MCG/ACT Inhalation

Medication Features

Tier Non-Formulary
PA Type No Prior Authorization
ST N
QL Y
QL Amount 17
QL Days 30