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Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
State of Georgia (MCO)
State of Georgia (MCO) Coverage for Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
All
2
State Medicaid
2
State Medicaid
State Medicaid - State Medicaid
PA Required
No Step Therapy
No Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Amantadine Hcl - Amantadine Hydrochloride capsule, Liquid Filled
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