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Altafluor - Fluorescein Sodium And Benoxinate Hydrochloride solution
New Hampshire Healthy Families
New Hampshire Healthy Families Coverage for Altafluor - Fluorescein Sodium And Benoxinate Hydrochloride solution
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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