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Amantadine Hydrochloride - Amantadine Hydrochloride tablet
Hawaii Medical Assurance Association (HMAA)
Hawaii Medical Assurance Association (HMAA) Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride tablet
All
1
Commercial
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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