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Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
Harvard Pilgrim Health Care
Harvard Pilgrim Health Care Coverage for Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
All
4
Commercial
3
Health Exchange
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - PPO
PA Required
No Step Therapy
No Quantity Limit
See Details
Commercial - Point of Service
PA Required
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
No Quantity Limit
See Details
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Does Harvard Pilgrim Health Care Cover Dextroamphetamine Sulfate? 4 Plans (2026)