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Motpoly Xr - Lacosamide capsule, Extended Release
District of Columbia (DC) FFS Program
District of Columbia (DC) FFS Program Coverage for Motpoly Xr - Lacosamide capsule, Extended Release
All
2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
PA Required
Step Therapy
No Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Motpoly Xr - Lacosamide capsule, Extended Release
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