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Dextroamphetamine Sulfate - Dextroamphetamine Sulfate tablet
HealthSmartRx (MCO)
HealthSmartRx (MCO) Coverage for Dextroamphetamine Sulfate - Dextroamphetamine Sulfate tablet
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1
Commercial
1
Commercial
Commercial - PBM Offering
No PA
No Step Therapy
No Quantity Limit
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