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promethazine 1.25mg/ml oral syrup

Tier: 1

Prior Authorization: No

Step Therapy: No

Category: RESPIRATORY TRACT AGENTS

Sub Category: ANTIHISTAMINES

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SECUR, Inc d/b/a SECUR Health Plan is an HMO I-SNP with a Medicare contract. Enrollment in SECUR Health Plan depends on contract renewal. SECUR Health Plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sexual orientation, gender identity or sex. SECUR Health plan does not exclude people or treat them differently because of race, color, national origin, age, disability, sexual orientation, gender identity or sex. ©2026 SECUR | Date Last Updated: July 13, 2026 | H3048_SECURWebsite_M_2026

Quick Reference Guide - SECUR Health Plan

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Utilization Management Training - SECUR Health Plan

ES - Utilization Management Training - SECUR Health Plan

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