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Formoterol Fumarate - Formoterol Fumarate Dihydrate solution
Community Care Plan (MCO)
Community Care Plan (MCO) Coverage for Formoterol Fumarate - Formoterol Fumarate Dihydrate solution
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1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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