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Dalfampridine - Dalfampridine tablet, Film Coated, Extended Release
Indiana University Health Plans
Indiana University Health Plans Coverage for Dalfampridine - Dalfampridine tablet, Film Coated, Extended Release
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2
Commercial
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Dalfampridine - Dalfampridine tablet, Film Coated, Extended Release
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Does Indiana University Health Plans Cover Dalfampridine? 2 Plans (2026)