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Aristada & Aristada Initio
South Country Health Alliance
South Country Health Alliance Coverage for Aristada & Aristada Initio
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2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
Step Therapy
Quantity Limit
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