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Tuxarin - Codeine Phosphate And Chlorpheniramine Maleate tablet, Extended Release
Asuris Northwest Health
Asuris Northwest Health Coverage for Tuxarin - Codeine Phosphate And Chlorpheniramine Maleate tablet, Extended Release
All
1
Commercial
1
Commercial
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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