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Bactrim Ds - Sulfamethoxazole And Trimethoprim tablet
Valley Health Plan (VHP) (MCO)
Valley Health Plan (VHP) (MCO) Coverage for Bactrim Ds - Sulfamethoxazole And Trimethoprim tablet
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2
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1
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1
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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