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Fulvicin P/G 165- Ultramicrosize Griseofulvin tablet
CalOptima (MCO)
CalOptima (MCO) Coverage for Fulvicin P/G 165- Ultramicrosize Griseofulvin tablet
All
2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Fulvicin P/G 165- Ultramicrosize Griseofulvin tablet
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