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Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride capsule, Extended Release
UPMC Health Plan
UPMC Health Plan Coverage for Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride capsule, Extended Release
All
9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - Other Insurer
No PA
No Step Therapy
Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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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
Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Dexmethylphenidate Hydrochloride - Dexmethylphenidate Hydrochloride capsule, Extended Release
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