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Dextroamphetamine Sulfate - Dextroamphetamine Sulfate tablet
Home State Health
Home State Health Coverage for Dextroamphetamine Sulfate - Dextroamphetamine Sulfate tablet
All
2
Health Exchange
1
Managed Medicaid
1
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
See Details
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