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A drug with a termination date will appear on the search for 90 days following the termination date.
Brand Name/Generic Name/Package Size | NDC/Manufacturer/Class | PA Required | Programs/Coverage Dates |
---|---|---|---|
MIRENA 52 MG SYSTEM levonorgestrel 1 EA |
50419042301 BAYER,PHARM DIV |
FFS Clinical: No PDL: No |
Medicaid start: 09/17/2014 HTW start: 09/17/2014 |