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Oxtellar XR
Humana
Humana Coverage for Oxtellar XR
All
3
Managed Medicaid
1
Medicare
2
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
No PA
Step Therapy
No Quantity Limit
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Medicare - Medicare Advantage Part D
No PA
Step Therapy
No Quantity Limit
See Details
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