Standard Health Pals Formulary
Entresto 97 mg / 103 mg (Sacubitril 97 mg / Valsartan 103 mg)
Coverage Level – 100%
Copay – $0
Limitations – No more than 30 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – N/A
Coverage Level – 100%
Copay – $0
Limitations – No more than 30 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – N/A
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