
Alpha-Lipoic Acid Solution 25 MG/ML Injection
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

EC-RX DHEA Cream 10 % External
Prasterone (DHEA)
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

EC-RX DHEA Cream 10 % External
Prasterone (DHEA)
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

EC-RX DHEA Cream 4 % External
Prasterone (DHEA)
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N