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Fulvicin P/G 165- Ultramicrosize Griseofulvin tablet
Cascade Health Alliance
Cascade Health Alliance Coverage for Fulvicin P/G 165- Ultramicrosize Griseofulvin tablet
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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