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Gocovri - Amantadine capsule, Coated Pellets
Ohana Health Plan
Ohana Health Plan Coverage for Gocovri - Amantadine capsule, Coated Pellets
All
2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Gocovri - Amantadine capsule, Coated Pellets
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Does Ohana Health Plan Cover Gocovri? 2 Plans (2026)