All *URINARY ANTI-INFECTIVES*

Uretron D/S Tablet 81.6 MG Oral
Uretron D/S Tablet 81.6 MG Oral

Meth-Hyo-M Bl-Na Phos-Ph Sal

Tier: 1
PA Type: No Prior Authorization
ST: N
Urin DS Tablet 81.6 MG Oral
Urin DS Tablet 81.6 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N