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Promethazine Vc With Codeine - Promethazine And Phenylephrine Hydrochloride And Codeine Phosphate solution
MHBP (MCO)
MHBP (MCO) Coverage for Promethazine Vc With Codeine - Promethazine And Phenylephrine Hydrochloride And Codeine Phosphate solution
All
1
Commercial
1
Commercial
Commercial - Other Insurer
No PA
No Step Therapy
No Quantity Limit
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