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Orphenadrine Citrate Aspirin Caffeine - Orphenadrine Citrate, Aspirin, Caffeine tablet
First Choice by Select Health of South Carolina
First Choice by Select Health of South Carolina Coverage for Orphenadrine Citrate Aspirin Caffeine - Orphenadrine Citrate, Aspirin, Caffeine tablet
All
2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Orphenadrine Citrate Aspirin Caffeine - Orphenadrine Citrate, Aspirin, Caffeine tablet
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