Call the helpline at 800-987-7767, option 5, and talk to choice counselors to change your SoonerSelect health plan!
PHARM-13 Statement of Medical Necessity for Quantity Limits Override.
Drugs
Quantity Limits
Chantix (Varenicline Tartrate) Dose-Pack Tablets
Chantix (Varenicline Tartrate) 0.5mg and 1mg Tablets
Zyban (Bupropion HCL) 150mg SA Tablets