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Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride tablet
Blue Cross Blue Shield Northern Plains Alliance (MCO)
Blue Cross Blue Shield Northern Plains Alliance (MCO) Coverage for Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride tablet
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Medicare - Prescription Drug Plan
PA Required
No Step Therapy
Quantity Limit
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