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Amantadine Hydrochloride - Amantadine Hydrochloride tablet
Alliant Health Plans
Alliant Health Plans Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride tablet
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4
Commercial
1
Health Exchange
3
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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