All ALTERNATIVE MEDICINES

Alpha-Lipoic Acid Solution 25 MG/ML Injection

Alpha-Lipoic Acid Solution 25 MG/ML Injection

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

Co-Veratrol Capsule 200-5-400-0.8 MG Oral

Co-Veratrol Capsule 200-5-400-0.8 MG Oral

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

Coenzyme Q-10 Solution 20 MG/ML Injection

Coenzyme Q-10 Solution 20 MG/ML Injection

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

EC-RX DHEA Cream 10 % External

EC-RX DHEA Cream 10 % External

Prasterone (DHEA)

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

EC-RX DHEA Cream 10 % External

EC-RX DHEA Cream 10 % External

Prasterone (DHEA)

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

EC-RX DHEA Cream 4 % External

EC-RX DHEA Cream 4 % External

Prasterone (DHEA)

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

EC-RX DHEA Cream 4 % External

EC-RX DHEA Cream 4 % External

Prasterone (DHEA)

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N

NeoKe RA Lipoic POWDER 800 MG/GM ORAL

NeoKe RA Lipoic POWDER 800 MG/GM ORAL

Alpha-Lipoic Acid

Tier: Non-Formulary

PA Type: No Prior Authorization

ST: N