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Buprenorphine Hydrochloride - Buprenorphine Hydrochloride tablet
Samaritan Health Plans
Samaritan Health Plans Coverage for Buprenorphine Hydrochloride - Buprenorphine Hydrochloride tablet
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3
Commercial
2
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1
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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