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Caffeine Citrate Oral Solution - Caffeine Citrate solution
Trillium Community Health Plan
Trillium Community Health Plan Coverage for Caffeine Citrate Oral Solution - Caffeine Citrate solution
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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