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Periogard Alcohol Free - Chlorhexidine Gluconate rinse
Avera Health Plans
Avera Health Plans Coverage for Periogard Alcohol Free - Chlorhexidine Gluconate rinse
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5
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2
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3
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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