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Emsam - Selegiline patch
State of New Hampshire (MCO)
State of New Hampshire (MCO) Coverage for Emsam - Selegiline patch
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2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
No PA
Step Therapy
No Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Emsam - Selegiline patch
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Screen for drug-drug and drug-condition conflicts.