Additional information
Formulary Category | 3 |
---|---|
Restrictions | Quantity Limit, Step Therapy |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | $68 |
Sodium Phosphate Monobasic-Sodium Phosphate Dibasic Tabs (Generic)
Formulary Category | 3 |
---|---|
Restrictions | Quantity Limit, Step Therapy |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | $68 |