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Combivent Respimat - Ipratropium Bromide And Albuterol spray, Metered
Driscoll Children's Health Plan (MCO)
Driscoll Children's Health Plan (MCO) Coverage for Combivent Respimat - Ipratropium Bromide And Albuterol spray, Metered
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1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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