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SourceRx 1.0 Four Tier Prescription Drug List, October 2021

SourceRx 1.0 Four Tier Prescription Drug List, October 2021

www.myprime.com

SourceRx 1.0 Four Tier Prescription Drug List, October 2021 IV Prior Authorization Your benefit plan may require prior authorization for certain drugs that have the potential for misuse. This means that your doctor will need to submit a prior authorization request for coverage of these medications,

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