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Amantadine Hydrochloride - Amantadine Hydrochloride capsule, Gelatin Coated
State of Massachusetts (MCO)
State of Massachusetts (MCO) Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride capsule, Gelatin Coated
All
2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
No PA
No Step Therapy
No Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Amantadine Hydrochloride - Amantadine Hydrochloride capsule, Gelatin Coated
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