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Dextroamphetamine Sulfate - Dextroamphetamine Sulfate tablet
Common Ground Healthcare Cooperative (MCO)
Common Ground Healthcare Cooperative (MCO) Coverage for Dextroamphetamine Sulfate - Dextroamphetamine Sulfate tablet
All
1
Health Exchange
1
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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