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Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
FEPBlue
FEPBlue Coverage for Lisdexamfetamine Dimesylate - Lisdexamfetamine Dimesylate capsule
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3
Commercial
2
Medicare
1
Commercial
Commercial - Other Insurer
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
PA Required
Step Therapy
No Quantity Limit
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