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Depen - Penicillamine tablet
State of Ohio (MCO)
State of Ohio (MCO) Coverage for Depen - Penicillamine tablet
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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Support for Getting Your Patient on Depen - Penicillamine tablet
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