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Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride tablet
New Hampshire Healthy Families
New Hampshire Healthy Families Coverage for Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride tablet
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
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