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Levothyroxine Sodium - Levothyroxine Sodium capsule
Sav-Rx (MCO)
Sav-Rx (MCO) Coverage for Levothyroxine Sodium - Levothyroxine Sodium capsule
All
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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