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Adzenys Xr - Odt - Amphetamine tablet, Orally Disintegrating
AmeriHealth Caritas New Hampshire
AmeriHealth Caritas New Hampshire Coverage for Adzenys Xr - Odt - Amphetamine tablet, Orally Disintegrating
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
No Quantity Limit
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