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WAS NOT FOUND IN THE FORMULARY, BUT THE FOLLOWING ALTERNATIVE DRUGS ARE:

This facility meets all criteria for basic accessibility.
 <a href="/lut/Facility-Physical-Accessibility">What do these symbols mean?</a>

This facility meets all criteria for basic accessibility and provides medical equipment access.
 <a href="/lut/Facility-Physical-Accessibility">What do these symbols mean?</a>

This facility meets some but not all of the criteria for basic physical accessibility for people with disabilities.
 <a href="/lut/Facility-Physical-Accessibility">What do these symbols mean?</a>

SNP Benefit Codes

2024 SNP Plan Codes