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Acyclovir - Acyclovir suspension
ITASCA Medical Care (MCO)
ITASCA Medical Care (MCO) Coverage for Acyclovir - Acyclovir suspension
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Acyclovir - Acyclovir suspension
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Does ITASCA Medical Care Cover Acyclovir? 1 Plans (2026)