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Promethazine Hydrochloride - Promethazine Hydrochloride tablet
Blue Cross Blue Shield of North Dakota
Blue Cross Blue Shield of North Dakota Coverage for Promethazine Hydrochloride - Promethazine Hydrochloride tablet
All
3
Commercial
1
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
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