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Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
Kaiser Foundation Health Plan of Colorado
Kaiser Foundation Health Plan of Colorado Coverage for Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
All
5
Commercial
4
Health Exchange
1
Commercial
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
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Commercial - Employer
PA Required
Step Therapy
No Quantity Limit
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Commercial - Other Insurer
PA Required
Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
See Details
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