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Bicillin C - R 900/300- Penicillin G Benzathine And Penicillin G Procaine injection, Suspension
Pacificsource Community Solutions
Pacificsource Community Solutions Coverage for Bicillin C - R 900/300- Penicillin G Benzathine And Penicillin G Procaine injection, Suspension
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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