| Health Net |
| Dyanavel XR (amphetamine) |
| Drugs for the Nervous System : Drugs for Attention Deficit Disorder |
- ST_APPLIES
- Hemophilia B (Factor IX):
Duration: 1 year(s)
Documented Diagnosis: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Dosing Limit(s): N/A
Treatment Center Required: No
- Available through Specialty Pharmacy;
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