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Promethazine Hydrochloride - Promethazine Hydrochloride syrup
Pacificsource Community Solutions
Pacificsource Community Solutions Coverage for Promethazine Hydrochloride - Promethazine Hydrochloride syrup
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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