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Dilantin Infatabs - Phenytoin tablet, Chewable
Commonwealth of Puerto Rico (MCO)
Commonwealth of Puerto Rico (MCO) Coverage for Dilantin Infatabs - Phenytoin tablet, Chewable
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1
State Medicaid
1
State Medicaid
State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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