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Levetiracetam - Levetiracetam tablet, Film Coated
National Rural Carrier Benefit Plan (MCO)
National Rural Carrier Benefit Plan (MCO) Coverage for Levetiracetam - Levetiracetam tablet, Film Coated
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1
Commercial
1
Commercial
Commercial - Other Insurer
No PA
No Step Therapy
No Quantity Limit
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