Sign In
Coverage
Check coverage
Home
Theophylline - Theophylline tablet, Extended Release
Prominence Health Plan
Prominence Health Plan Coverage for Theophylline - Theophylline tablet, Extended Release
All
4
Commercial
3
Medicare
1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Point of Service
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Theophylline - Theophylline tablet, Extended Release
Check medication interactions