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Methylphenidate Hydrochloride - Methylphenidate Hydrochloride tablet, Extended Release
WPS Health Plan, Inc.
WPS Health Plan, Inc. Coverage for Methylphenidate Hydrochloride - Methylphenidate Hydrochloride tablet, Extended Release
All
1
Commercial
1
Commercial
Commercial - PPO
No PA
Step Therapy
No Quantity Limit
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