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Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
Arizona Complete Health
Arizona Complete Health Coverage for Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
All
2
Health Exchange
1
Managed Medicaid
1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
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