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Xelstrym - Dextroamphetamine patch, Extended Release
Rocky Mountain Health Plans
Rocky Mountain Health Plans Coverage for Xelstrym - Dextroamphetamine patch, Extended Release
All
2
Health Exchange
1
Managed Medicaid
1
Health Exchange
Health Exchange - HMO - 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
Support for Getting Your Patient on Xelstrym - Dextroamphetamine patch, Extended Release
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