All *ANTACIDS*

Sodium Bicarbonate POWDER Oral
Sodium Bicarbonate POWDER Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Sodium Bicarbonate POWDER Oral
Sodium Bicarbonate POWDER Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Sodium Bicarbonate POWDER Oral
Sodium Bicarbonate POWDER Oral

Tier: 3
PA Type: No Prior Authorization
ST: N