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Theophylline - Theophylline tablet, Extended Release
Health Care Service Corporation (HCSC)
Health Care Service Corporation (HCSC) Coverage for Theophylline - Theophylline tablet, Extended Release
All
2
Medicare
2
Medicare
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
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Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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