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Levetiracetam extended - Release - Levetiracetam tablet, Extended Release
Maryland Physicians Care (MPC) (MCO)
Maryland Physicians Care (MPC) (MCO) Coverage for Levetiracetam extended - Release - Levetiracetam tablet, Extended Release
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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