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Disopyramide Phosphate - Disopyramide Phosphate capsule
State of Ohio (MCO)
State of Ohio (MCO) Coverage for Disopyramide Phosphate - Disopyramide Phosphate capsule
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2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
No PA
No Step Therapy
Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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