Provider Memorandum 003-2015 - Magellan Rx Management

ALBUTEROL IR 4 mg tablet: is covered through a manual review PA on a case-by-case basis. Ventolin® (albuterol) HFA 18 gram inhaler is available without prior authorization for more effective treatment of relief of bronchospasm in adults and children with reversible obstructive airway disease. ................
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