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For more detailed information about your Mercy Care ACC-RBHA with SMI prescription drug coverage, please review your Member Handbook and other plan materials.

If you have questions about Mercy Care ACC-RBHA with SMI, please call Member Services at  1-800-564-5465  or TTY/TDD 7-1-1 if hearing impaired.

To Our Providers:  Please click here to initiate an electronic prior authorization (ePA) request

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  • *Adhd/Anti-Narcolepsy/Anti-Obesity/Anorexiants*
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Formulary Id: 00000000
Formulary Effective Date: 05/01/2025
Updated:
05/2025
CMS Approval Date:
12/01/2017

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