Sign In
Coverage
Check coverage
Home
Gocovri - Amantadine capsule, Coated Pellets
Valley Health Plan (VHP) (MCO)
Valley Health Plan (VHP) (MCO) Coverage for Gocovri - Amantadine capsule, Coated Pellets
All
2
Commercial
1
Health Exchange
1
Commercial
Commercial - Employer
PA Required
Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Gocovri - Amantadine capsule, Coated Pellets
Check medication interactions