Standard Health Pals Formulary
Finzala 1 mg / 0.02 mg Chewable Tablet Pack (Generic for Minastrin 24 FE and Melode 24 FE)
Coverage Level – 100%
Copay – $0
Limitations – No more than 90 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – Generic for Minastrin 24 FE / Generic for Melode 24 FE