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Provigil - Modafinil tablet
WellDyneRx (MCO)
WellDyneRx (MCO) Coverage for Provigil - Modafinil tablet
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2
Commercial
2
Commercial
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
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Commercial - PBM Offering
PA Required
No Step Therapy
Quantity Limit
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