Alogliptin-Metformin HCl TABLET 12.5-500 MG ORAL

Strength: 12.5-500cm (L)

Medication Description

Alogliptin-Metformin HCl TABLET 12.5-500 MG ORAL

Medication Features

Tier Non-Formulary
PA Type No Prior Authorization
ST N
QL Y
QL Amount 60
QL Days 30