Additional information
Formulary Category | 3 |
---|---|
Restrictions | Quantity Limit, Step Therapy |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | N/A |
Aclidinium Bromide-Formoterol Fumarate Aepb (Generic)
Formulary Category | 3 |
---|---|
Restrictions | Quantity Limit, Step Therapy |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | N/A |