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Amantadine Hydrochloride - Amantadine Hydrochloride capsule
Sutter Health Plus (MCO)
Sutter Health Plus (MCO) Coverage for Amantadine Hydrochloride - Amantadine Hydrochloride capsule
All
2
Commercial
2
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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