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Sodium Polystyrene Sulfonate - Sodium Polystyrene Sulfonate powder, For Suspension
Health Plan of San Joaquin (MCO)
Health Plan of San Joaquin (MCO) Coverage for Sodium Polystyrene Sulfonate - Sodium Polystyrene Sulfonate powder, For Suspension
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2
Managed Medicaid
1
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1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
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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