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*Subject to DAKOTACARE Drug Formulary

**Must be Preauthorized by DAKOTACARE

This information is only a summary of coverage. Please see Master Contract for actual benefits, limitations and exclusions.

For more information on any DAKOTACARE product or service, contact the DAKOTACARE Sales and Marketing Department at 605.334.4000 or 800.325.5598, or your local DAKOTACARE Agent.

 
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