Non-Formulary Brand

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Amphetamine-Dextroamphetamine Tabs (Generic)

Non-Formulary Brand
3
N/A
$68

Amphetamine-Dextroamphetamine Tabs (Generic)

Non-Formulary Brand
3
N/A
$68

Methylphenidate Hcl Tbcr 36Mg (Generic)

Non-Formulary Brand
3
N/A
$68

Selegiline Hcl Caps 5Mg (Generic)

Non-Formulary Brand
3
Yes
$68