Genitourinary System
Tier 1 |
Tier 2 |
Tier 3 |
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Tier 1 |
Tier 2 |
Tier 3 |
Special PA |
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*Tier-1 products are available without a prior authorization for all members. Hyoscyamine is available without prior authorization and can be used as adjunctive therapy, but does not count as a Tier-1 trial. |