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Hycodan - Hydrocodone Bitartrate And Homatropine Methylbromide tablet
Horizon NJ Health
Horizon NJ Health Coverage for Hycodan - Hydrocodone Bitartrate And Homatropine Methylbromide tablet
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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