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Dalfampridine - Dalfampridine tablet, Extended Release
State of Idaho (MCO)
State of Idaho (MCO) Coverage for Dalfampridine - Dalfampridine tablet, Extended Release
All
2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
PA Required
No Step Therapy
No Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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Does State of Idaho Cover Dalfampridine? 2 Plans (2026)