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Iopidine 1%- Apraclonidine Hydrochloride Ophthalmic Solution solution/ Drops
Western Oregon Advanced Health.
Western Oregon Advanced Health. Coverage for Iopidine 1%- Apraclonidine Hydrochloride Ophthalmic Solution solution/ Drops
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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