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Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride tablet
Ascension (MCO)
Ascension (MCO) Coverage for Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride tablet
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1
Commercial
1
Commercial
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
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