Limited Use Note(s) |
MONTELUKAST SODIUM4mg Chew Tab
Reason For Use Code | Clinical Criteria |
---|---|
382 | For the treatment of asthma in patients aged 2-5 years old. |
LU Authorization Period: 1 year |
Limited Use Note(s) |
Reason For Use Code | Clinical Criteria |
---|---|
382 | For the treatment of asthma in patients aged 2-5 years old. |
LU Authorization Period: 1 year |