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Amantadine Hydrochloride - Amantadine Hydrochloride capsule, Gelatin Coated
AmeriHealth Caritas New Hampshire
AmeriHealth Caritas New Hampshire Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride capsule, Gelatin Coated
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Amantadine Hydrochloride - Amantadine Hydrochloride capsule, Gelatin Coated
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