Activella Tablet 0.5-0.1 MG Oral
Estradiol-Norethindrone Acet
Tier: 3
PA Type: No Prior Authorization
ST: N
Activella Tablet 1-0.5 MG Oral
Estradiol-Norethindrone Acet
Tier: 3
PA Type: No Prior Authorization
ST: N
Activella Tablet 1-0.5 MG Oral
Estradiol-Norethindrone Acet
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.025 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.025 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.025 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.025 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.05 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.05 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N
Alora Patch Twice Weekly 0.05 MG/24HR Transdermal
Estradiol
Tier: 3
PA Type: No Prior Authorization
ST: N