Actemra ACTPen Solution Auto-Injector 162 MG/0.9ML Subcutaneous
Tier: 4
PA Type: PA Applies
PA Group: Actemra
Actemra SOLUTION 200 MG/10ML Intravenous
Tier: 4
PA Type: PA Applies
PA Group: Actemra
Actemra SOLUTION 400 MG/20ML Intravenous
Tier: 4
PA Type: PA Applies
PA Group: Actemra
Actemra SOLUTION 80 MG/4ML Intravenous
Tier: 4
PA Type: PA Applies
PA Group: Actemra
Actemra Solution Prefilled Syringe 162 MG/0.9ML Subcutaneous
Tier: 4
PA Type: PA Applies
PA Group: Actemra
Anaprox DS Tablet 550 MG Oral
Tier: 3
PA Type: No Prior Authorization
ST: N
Anaprox DS Tablet 550 MG Oral
Tier: 3
PA Type: No Prior Authorization
ST: N
Arava TABLET 10 MG ORAL
Tier: 3
PA Type: No Prior Authorization
ST: N
Arava TABLET 20 MG ORAL
Tier: 3
PA Type: No Prior Authorization
ST: N