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Mycophenolic Acid - Mycophenolic Acid tablet, Delayed Release
El Paso First Health Plans
El Paso First Health Plans Coverage for Mycophenolic Acid - Mycophenolic Acid tablet, Delayed Release
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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