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Mibelas 24 FE 1 mg / 0.02 mg Tablet Pack (Generic for Minastrin 24 FE and Melode 24 FE)

Coverage Level – 100%

Copay – $0

Limitations – No more than 90 days’ supply

Restrictions – Health Pals Mail Order Pharmacy Network

Comments – Generic for Minastrin 24 FE; Generic for Melode 24 FE