Diazepam Rectal Gel Delivery System 10 mg — One Time Use Device

Added onJanuary 20, 2025

Updated onJanuary 20, 2025

ByHealth Pals

Coverage Level – 100%

Copay – $0

Limitations – No more than 1 system in 6 months; 2 systems in 12 months

Restrictions – Health Pals Mail Order Pharmacy Network

Comments – N/A

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