Additional information
Formulary Category | 3 |
---|---|
Restrictions | Prior Authorization, Quantity Limit, Step Therapy |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | $68 |
Insulin Regular (Human) Powd (Generic)
Formulary Category | 3 |
---|---|
Restrictions | Prior Authorization, Quantity Limit, Step Therapy |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | $68 |