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Theophylline - Theophylline tablet, Extended Release
Avera Health Plans
Avera Health Plans Coverage for Theophylline - Theophylline tablet, Extended Release
All
5
Commercial
2
Health Exchange
3
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Theophylline - Theophylline tablet, Extended Release
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