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Amantadine Hydrochloride - Amantadine Hydrochloride tablet
Indian Health Service (IHS) (MCO)
Indian Health Service (IHS) (MCO) Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride tablet
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1
Commercial
1
Commercial
Commercial - Government
PA Required
No Step Therapy
No Quantity Limit
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