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75%) Vitamins: Prenatal Multivitamins LENGTH OF AUTHORIZATION: CRITERIA FOR APPROVAL: DHA Containing Prenatal Vitamins The patient is unable to anexsia drug classification anexsia galinos anexsia for strep anexsia contraindications anexsia obtain a sufficient amount of DHA from diet alone . Vaginal Anti-Infectives Length of Authorization: 1 year Key: † Generic product, *Indicates generic equivalent is available without a PA PREFERRED DRUGS (No PA Required) Cleocin®* (clindamycin vaginal cream 2%) CLINDAMYCIN VAGINAL† (clindamycin vaginal Cleocin® Vaginal Ovules anexsia (clindamycin vaginal suppositories) Clindesse® (clindamycin vaginal cream 2%) METRONIDAZOLE VAGINAL GEL 0 . 75%) Department of Vermont Health anexsia Access (08/19/2014) Metrogel Vaginal®* (metronidazole vaginal gel 0 . 75%† VANDAZOLE† anexsia dose for dogs anexsia y lactancia anexsia bula anexsia vaistai anexsia zoloft interaction (metronidazole vaginal 0 .
All Other Non-Preferred The prescriber must provide a clinically valid reason for the use of the requested medication including reasons why anexsia any of the preferred products would not be a suitable alternative .
 anexsia capsules anexsia label anexsia for dogs anexsia emedicine anexsia qt interval anexsia Document clinically compelling information supporting the choice of a non-preferred agent on a General Prior Authorization Request Form .
Vitamins: anexsia Prenatal Multivitamins Length of Authorization: 1 year PREFERRED DRUGS (No PA Required) PRENATAL PLUS/IRON® PRENATAL VITAMINS PLUS All others including DHA containing products .
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