Standard Health Pals Formulary
Potassium Chloride (KCl) Oral Solution 10% — 20 MEQ/15 ml
Coverage Level – 100%
Copay – $0
Limitations – No more than 90 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – N/A
Coverage Level – 100%
Copay – $0
Limitations – No more than 90 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – N/A
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