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Dilantin-125- Phenytoin suspension
Blue California Promise Health Plan
Blue California Promise Health Plan Coverage for Dilantin-125- Phenytoin suspension
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Dilantin-125- Phenytoin suspension
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