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Ontralfy - Tizanidine Hydrochloride solution
Physicians Health Plan of Northern Indiana
Physicians Health Plan of Northern Indiana Coverage for Ontralfy - Tizanidine Hydrochloride solution
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Commercial
2
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Point of Service
PA Required
No Step Therapy
No Quantity Limit
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