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Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
WPS Health Plan, Inc.
WPS Health Plan, Inc. Coverage for Dextroamphetamine SulfateĀ - Dextroamphetamine SulfateĀ tablet
All
1
Commercial
1
Commercial
Commercial - PPO
No PA
Step Therapy
No Quantity Limit
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