Digitek TABLET 125 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 125 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 125 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 125 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 250 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 250 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 250 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digitek TABLET 250 MCG ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
Digox Tablet 125 MCG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Digox Tablet 125 MCG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Digox Tablet 250 MCG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Digox Tablet 250 MCG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N