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Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
Ascension (MCO)
Ascension (MCO) Coverage for Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
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1
Commercial
1
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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