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Formulario de autoridad especial
1. Debes haberlo intentado  ya sea Dexedrine o Ritalin durante al menos 2 semanas.
 2. Tiene un ingreso familiar combinado de menos de $28,000.
 Si es así, puede solicitar la autorización especial que cubrirá (parcial o totalmente) los costos de sus medicamentos durante 1 año. 
 

Formulario de autoridad especial

150,00C$Precio
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