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Phenytoin Sodium - Phenytoin Sodium injection
Imperial Health Plan (MCO)
Imperial Health Plan (MCO) Coverage for Phenytoin Sodium - Phenytoin Sodium injection
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2
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1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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