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Promacta - Eltrombopag Olamine tablet, Film Coated
Douglas County IPA
Douglas County IPA Coverage for Promacta - Eltrombopag Olamine tablet, Film Coated
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1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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