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Oraqix - Lidocaine And Prilocaine gel
State of Montana (MCO)
State of Montana (MCO) Coverage for Oraqix - Lidocaine And Prilocaine gel
All
2
State Medicaid
2
State Medicaid
State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
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State Medicaid - State Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Oraqix - Lidocaine And Prilocaine gel
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Does State of Montana Cover Oraqix? 2 Plans (2026)