
Adrenalin Solution 1 MG/ML Injection
EPINEPHrine (Anaphylaxis)
Tier: 3
PA Type: No Prior Authorization
ST: N

Adrenalin Solution 1 MG/ML Injection
EPINEPHrine (Anaphylaxis)
Tier: 3
PA Type: No Prior Authorization
ST: N

Adrenalin Solution 30 MG/30ML Injection
EPINEPHrine (Anaphylaxis)
Tier: 3
PA Type: No Prior Authorization
ST: N

Adrenalin Solution 30 MG/30ML Injection
EPINEPHrine (Anaphylaxis)
Tier: 3
PA Type: No Prior Authorization
ST: N

Adrenalin Solution 30 MG/30ML Injection
EPINEPHrine (Anaphylaxis)
Tier: 3
PA Type: No Prior Authorization
ST: N

Adyphren Amp II Kit 1 MG/ML Injection
EPINEPHrine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Adyphren Amp Kit 1 MG/ML Injection
EPINEPHrine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Adyphren II Kit 1 MG/ML Injection
EPINEPHrine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Adyphren Kit 1 MG/ML Injection
EPINEPHrine
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Akovaz Solution 50 MG/ML Intravenous
ePHEDrine Sulfate
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
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