
AminoPMrms Capsule Oral
Nutritional Supplements
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

App Slim Rms CAPSULE ORAL
Nutritional Supp - Diet Aids
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

AppTrim Capsule Oral
Dietary Manage Prod - Diet Aid
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

AppTrim Capsule Oral
Dietary Manage Prod - Diet Aid
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

AppTrim-D Capsule Oral
Dietary Manage Prod - Diet Aid
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

AppTrim-D Capsule Oral
Dietary Manage Prod - Diet Aid
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

AsilNasalrms Capsule Oral
Nutritional Supplements
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

AstaMed MYO CAPSULE ORAL
Astaxanthin-Tocotrienol-Zn-D3
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Availnex TABLET CHEWABLE 750 MG ORAL
Carbocysteine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Axona Packet Oral
Dietary Management Product
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
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