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Altafluor - Fluorescein Sodium And Benoxinate Hydrochloride solution
State of Massachusetts (MCO)
State of Massachusetts (MCO) Coverage for Altafluor - Fluorescein Sodium And Benoxinate Hydrochloride solution
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2
State Medicaid
2
State Medicaid
State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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State Medicaid - State Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
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