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Dhivy - Carbidopa Levodopa tablet
Driscoll Children's Health Plan (MCO)
Driscoll Children's Health Plan (MCO) Coverage for Dhivy - Carbidopa Levodopa tablet
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
No Quantity Limit
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Does Driscoll Children's Health Plan Cover Dhivy? 1 Plans (2026)