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Bactrim Ds - Sulfamethoxazole And Trimethoprim tablet
WellDyneRx (MCO)
WellDyneRx (MCO) Coverage for Bactrim Ds - Sulfamethoxazole And Trimethoprim tablet
All
2
Commercial
2
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Commercial - PBM Offering
No PA
No Step Therapy
No Quantity Limit
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