2013 Aetna Medicare Prescription Drugs that Require Step Therapy ...
2013 Aetna Medicare Prescription Drugs that Require Step Therapy ...
2013 Aetna Medicare Prescription Drugs that Require Step Therapy ...
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DIABETIC SUPPLIESProducts AffectedBd Insulin SyringeSafetyglide/1ml/29g X 1/2"Bd Insulin SyringeUltrafine/0.3ml/31g X 5/16"Bd Insulin SyringeUltrafine/0.5ml/30g X 1/2"Bd Insulin Syringe Ultrafine/1ml/31gX 5/16" Bd Pen Needle/ultrafine/29g X12.7mm V-go 20 V-go 30 V-go 40DetailsCriteriaA documented concurrent use of an insulin product or Byetta or Bydureonor Symlin or Victoza within the past 120 days10
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