Drug/Drug Class - Superior HealthPlan
ADDERALL 7.5MG TABLET. 29007. AMPHETAMINE SULFATE 5MG TABLET. 19822 ... and associated generic products). Added statement that this ...
Attention-Deficit/Hyperactivity Disorder (ADHD) AgentsAdhansia XR,. Daytrana, Desoxyn, Dexedrine Spansule, Dyanavel XR, Intuniv, and Kapvay are approved for use in children 6 years of age and older. PSHP - Quick Reference Drug List: ADHD MedicationsGeneric products are preferred. Prior Authorizations should be sent to ... TD=Transdermal, TM= Transmucosal,. TR=timed Release, XL= Extended Release, XR ... Tiered Generic Prescription Drug Guide, October 2019 - MyPrime.comThe Tiered Generic Prescription Drug Guide includes a list of all Preferred Brand drugs and select Generic drugs.
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