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Disulfiram - Disulfiram tablet
Chinese Community Health Plan
Chinese Community Health Plan Coverage for Disulfiram - Disulfiram tablet
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4
Commercial
1
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2
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1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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