Doryx side effect
Tetracyclines - Pharmacy Clinical Policy Bulletins Aetna Medicare Prescription Drug Plan are subject to precertification. If precertification requirements apply, Aetna considers Adoxa tab/pak, Declomycin, D. Quantity limits: According to the manufacturer, Oracea can be dosed up to a maximum daily dose at the interval(s) as indicated in the table below. A quantity of this drug will be considered medically necessary as indicated in the table below: are currently Not Covered Part D drugs under the Aetna Medicare Prescription Drug Plan.* Therefore, they are excluded from coverage for members enrolled in prescription drug benefit plans that use a closed formulary, unless a medical exception is granted.