Ambien CR Tablet Extended Release 6.25 MG Oral

Zolpidem Tartrate ER

Strength: 6.25cm (L)

Medication Description

Ambien CR Tablet Extended Release 6.25 MG Oral

Medication Features

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