x0.125mg & 210 x0.25mg, titr pk(mo3)126x0.125mg&42x0.25mg
0.125mg, 0.25mg, 0.125mg, 0.25mg
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Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
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Coverage information for this drug hasn't been ingested yet, or no NC plans currently list it.