VA CFU Criteria Formulary Advisor Reference
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INDOMETHACIN SUPP,RTL

Generic Name
INDOMETHACIN SUPP
Brand Names
INDOCIN
Drug Class
NONSALICYLATE NSAIS,ANTIRHEUMATIC
Formulary Status
PA-F
Copay Tier
2
Last Updated
2017-02-27

Clinical Criteria Summary

Inclusion Criteria

  • Undergoing endoscopic retrograde cholangiopancreatography (ERCP)

Source Documents

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