Creon CAPSULE DELAYED RELEASE PARTICLES 12000 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 12000 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 24000-76000 UNIT Oral
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 24000-76000 UNIT Oral
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 3000-9500 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 36000 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 36000 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 6000 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N
Creon CAPSULE DELAYED RELEASE PARTICLES 6000 UNIT ORAL
Pancrelipase (Lip-Prot-Amyl)
Tier: 2
PA Type: No Prior Authorization
ST: N