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Memantine Hydrochloride - Memantine Hydrochloride tablet, Film Coated
Blue Cross Blue Shield Northern Plains Alliance (MCO)
Blue Cross Blue Shield Northern Plains Alliance (MCO) Coverage for Memantine Hydrochloride - Memantine Hydrochloride tablet, Film Coated
All
1
Medicare
1
Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
No Quantity Limit
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