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Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
Blue Cross of Idaho
Blue Cross of Idaho Coverage for Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
All
4
Commercial
2
Health Exchange
1
Medicare
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
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