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Theophylline - Theophylline tablet, Extended Release
Health Plan of San Mateo
Health Plan of San Mateo Coverage for Theophylline - Theophylline tablet, Extended Release
All
2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Theophylline - Theophylline tablet, Extended Release
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Does Health Plan of San Mateo Cover Theophylline? 2 Plans (2026)