
AcipHex Sprinkle Capsule Sprinkle 10 MG Oral
RABEprazole Sodium
Tier: 3
PA Type: No Prior Authorization
ST: N

AcipHex Sprinkle Capsule Sprinkle 10 MG Oral
RABEprazole Sodium
Tier: 3
PA Type: No Prior Authorization
ST: N

AcipHex Sprinkle CAPSULE SPRINKLE 5 MG Oral
RABEprazole Sodium
Tier: 3
PA Type: No Prior Authorization
ST: N

AcipHex Sprinkle CAPSULE SPRINKLE 5 MG Oral
RABEprazole Sodium
Tier: 3
PA Type: No Prior Authorization
ST: N
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