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Amantadine Hydrochloride - Amantadine Hydrochloride capsule
Highmark Blue Cross Blue Shield
Highmark Blue Cross Blue Shield Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride capsule
All
7
Commercial
3
Health Exchange
1
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
Quantity Limit
See Details
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