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Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
Health Plan of San Mateo
Health Plan of San Mateo Coverage for Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
All
2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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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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