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    Information reflecting prices is not a quotation or offer to sell or purchase. However, the content providers do not warrant the accuracy of the information in the website, nor of codes, prices or other data available on this website. Learn more at our content providers have utilized reasonable care in collecting and reporting the information contained in the products on this website and have obtained such information from sources believed to be reliable.

    By changing your plan, information may change depending on your benefits, dependents, and other plan information. The absence of a warning for a given drug or drug combination should not be construed to indicate that the drug or drug combination is safe, appropriate or effective in any given patient. To obtain the correct form, select the appropriate drug below and follow the instructions at the top of the form.

    If your health plans formulary guide indicates that you need a prior authorization for a specific drug, your physician must submit a prior authorization request form to the health plan for approval. Prime therapeutics is not responsible for the content, terms of use or privacy policy of the website to which you are going. Our purpose is to help people get the medicine they need to feel better and live well.

    The clinical information contained in the information is intended as a supplement to, and not a substitute for, the knowledge, expertise, skill, and judgment of physicians, pharmacists, or other healthcare professionals in patient care. . If the request is not approved, please remember that you always have the option to purchase the medication at your own expense. Please click the refresh button in your browserwindow, or try again soon.


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    Prime therapeutics is not responsible for the content, terms of use or privacy policy of the website to which you are going. . Please click the refresh button in your browserwindow, or try again soon. The clinical information contained in the information is intended as a supplement to, and not a substitute for, the knowledge, expertise, skill, and judgment of physicians, pharmacists, or other healthcare professionals in patient care. However, the content providers do not warrant the accuracy of the information in the website, nor of codes, prices or other data available on this website.

    Learn more at our content providers have utilized reasonable care in collecting and reporting the information contained in the products on this website and have obtained such information from sources believed to be reliable. Our purpose is to help people get the medicine they need to feel better and live well. By changing your plan, information may change depending on your benefits, dependents, and other plan information. Information reflecting prices is not a quotation or offer to sell or purchase. If the request is not approved, please remember that you always have the option to purchase the medication at your own expense. To obtain the correct form, select the appropriate drug below and follow the instructions at the top of the form. The absence of a warning for a given drug or drug combination should not be construed to indicate that the drug or drug combination is safe, appropriate or effective in any given patient. If your health plans formulary guide indicates that you need a prior authorization for a specific drug, your physician must submit a prior authorization request form to the health plan for approval.

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