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Gocovri - Amantadine capsule, Coated Pellets
Highmark Blue Shield
Highmark Blue Shield Coverage for Gocovri - Amantadine capsule, Coated Pellets
All
2
Commercial
2
Commercial
Commercial - PPO
PA Required
Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
Step Therapy
Quantity Limit
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Support for Getting Your Patient on Gocovri - Amantadine capsule, Coated Pellets
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