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Amantadine - Amantadine tablet
Blue California Promise Health Plan
Blue California Promise Health Plan Coverage for Amantadine - Amantadine tablet
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1
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1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Amantadine - Amantadine tablet
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Does Blue California Promise Health Plan Cover Amantadine? 1 Plans (2026)