National PBM Monograph Template
Jun 12, 2015 · Vasostrict (vasopressin)H. Vitekta (elvitegravir) Xigduo XR (dapagliflozin/metformin extended-release) – PA. ... or liquid) does not have an FDA “A”-rated generic equivalent. ̂ This drug is available through the health care professional who administers the drug. MassHealth does not pay for this drug to be dispensed through a retail pharmacy. ................
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