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Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
State of Montana (MCO)
State of Montana (MCO) Coverage for Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
All
2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
PA Required
Step Therapy
Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
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Does State of Montana Cover Dextroamphetamine Sulfate? 2 Plans (2026)