Drug Therapy Guidelines: Sedative/Hypnotic Ambien (zolpidem) PDF document

Drug Therapy Guidelines: Sedative/Hypnotic Ambien (zolpidem) PDF document

2014-08-24 106K 106 0 0


. Members with a closed Formulary (2 Tier) prescription benefit are limited to use of Formulary agents only. A therapeutic trial of samples of a Non-Formulary or Prior Authorization agent will not be accepted as appropriate. Please be sure to list all therapies that have been previously tried on the.... ID: 927

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