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Memantine Hydrochloride - Memantine Hydrochloride capsule, Extended Release
Driscoll Children's Health Plan (MCO)
Driscoll Children's Health Plan (MCO) Coverage for Memantine Hydrochloride - Memantine Hydrochloride capsule, Extended Release
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Memantine Hydrochloride - Memantine Hydrochloride capsule, Extended Release
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