Z7_VA6HBFH208MFF0IN2GAUFG30R6
These medications are excluded from coverage because they have a safe and effective over-the-counter equivalent members can purchase without a prescription. Exceptions are not available for these medications.
Z7_VA6HBFH208MFF0IN2GAUFG30R3
Z7_VA6HBFH208MFF0IN2GAUFG3070
