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Levorphanol Tartrate - Levorphanol Tartrate tablet
Scripius MCO
Scripius MCO Coverage for Levorphanol Tartrate - Levorphanol Tartrate tablet
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2
Commercial
2
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Commercial - PBM Offering
No PA
No Step Therapy
No Quantity Limit
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