CY2021 ProRx PDP 5T Benchmark_21479

When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by our plan. ... hydroxychloroquine sulfate oral tablet 200 mg. 2. MO. LAMPIT ORAL TABLET 120 MG, 30 MG. 4. MO. mefloquine hcl oral tablet 250 mg. 2. MO. ................
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